The nurse would assess respirations in a 9-month-old infant when the client is:
Playing in the playroom.
Crying.
Sleeping.
Laughing.
The Correct Answer is C
Choice A rationale
Playing might cause irregular breathing patterns due to excitement or activity, making it hard to get an accurate respiratory rate.
Choice B rationale
Crying can alter the normal breathing rate and pattern, resulting in an inaccurate assessment of respirations.
Choice C rationale
Sleeping provides the most accurate assessment of respirations, as the infant’s breathing will be at its natural, resting rate.
Choice D rationale
Laughing, similar to crying, causes irregular breathing patterns due to physical exertion and emotions, affecting accuracy.
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Correct Answer is A
Explanation
Choice A rationale
Storing a firearm in a top drawer is unsafe, even if it is out of the child’s immediate reach. Firearms should be securely locked in a location inaccessible to children.
Choice B rationale
Locking cleaning products under the sink is a safe practice to prevent accidental poisoning, demonstrating correct safety precautions.
Choice C rationale
Placing safety covers on electrical outlets is a safe practice to prevent electrical shocks, indicating proper home safety measures.
Choice D rationale
Installing safety gates at the top and bottom of stairs is a recommended safety measure to prevent falls, showcasing awareness of proper childproofing.
Correct Answer is C
Explanation
Choice A rationale
The Industry vs. Inferiority stage, according to Erikson, occurs from age 6 to puberty, where children focus on learning, developing skills, and striving for competence. A 20-month-old
child is not yet in this stage.
Choice B rationale
The Trust vs. Mistrust stage is the earliest stage in Erikson's theory, occurring from birth to about 18 months. While a 20-month-old child has recently transitioned out of this stage, it
is not the stage applicable to their current developmental phase.
Choice C rationale
The Autonomy vs. Shame and Doubt stage occurs from approximately 18 months to 3 years. At 20 months, children are striving for independence, making choices, and developing a
sense of self-control, which is characteristic of this stage.
Choice D rationale
The Initiative vs. Guilt stage occurs from ages 3 to 6 years, where children begin to assert power and control through directing play and other social interactions. A 20-month-old child
is not in this stage yet.