Nokea
A toddler with a chronic illness that requires frequent hospitalization is likely to experience which psychosocial developmental challenge?
- A. Fixation with feelings of inadequacy
- B. Interference with the development of autonomy
- C. Distortion of differentiation of self from parent
- D. Delayed language, fine-motor, and self-care skills
Correct Answer: B
Rationale: Toddlers with chronic illnesses requiring frequent hospitalization may experience interference with the development of autonomy. This is because the need for constant medical care can restrict their independence and ability to explore and make choices, which are essential aspects of achieving autonomy according to Erikson's stages of psychosocial development.
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A 3-year-old child is brought to the clinic by the parents who are concerned that the child is not yet potty trained. What is the nurse's best response?
- A. Most children are potty trained by this age, so you should be concerned
- B. Every child develops at their own pace. Let's discuss some strategies to help
- C. Your child may need to be evaluated for developmental delays
- D. It's best to force your child to use the potty to encourage training
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which nursing intervention is most important to include in the plan of care for a child with acute glomerulonephritis?
- A. Encourage fluid intake.
- B. Promote complete bed rest.
- C. Weigh the child daily.
- D. Administer vitamin supplements.
Correct Answer: C
Rationale: Weighing the child daily is crucial in managing a child with acute glomerulonephritis as it helps in monitoring fluid retention, which is a key concern in this condition. Daily weight monitoring allows healthcare providers to assess changes in fluid status and adjust treatment accordingly. It is an essential component of the care plan to ensure the child's health status is closely monitored during the management of acute glomerulonephritis.
A child with Graves' disease who is taking propranolol (Inderal) is seen in the clinic. The nurse should monitor the child for which therapeutic response?
- A. Increased weight gain
- B. Decreased heart rate
- C. Reduced headaches
- D. Diminished fatigue
Correct Answer: B
Rationale: When a child with Graves' disease is prescribed propranolol (Inderal), the nurse should monitor for a decreased heart rate as a therapeutic response. Propranolol is a beta-blocker that acts to slow down the heart rate, which is beneficial in managing the symptoms of Graves' disease, such as tachycardia and other cardiovascular manifestations.
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
- A. Place the child in a quiet environment
- B. Make a list of foods that the child likes
- C. Encourage the parents to rest when possible
- D. Apply lotion to hands and feet
Correct Answer: A
Rationale: Creating a quiet environment is the priority intervention as it helps reduce irritability and stress in children with Kawasaki disease. This intervention can promote a soothing atmosphere for the child, which may help in managing their symptoms effectively. Once the child is in a peaceful setting, further interventions such as addressing nutritional needs or skincare can be addressed.
The parents of a 4-year-old child who has just been diagnosed with celiac disease are being educated by a healthcare provider. Which statement by the parents indicates a correct understanding of the condition?
- A. We can give our child small amounts of gluten occasionally
- B. We need to avoid giving our child foods containing wheat, barley, and rye
- C. We should limit our child's intake of dairy products
- D. Our child will need to take gluten-free supplements
Correct Answer: B
Rationale: For individuals with celiac disease, a strict gluten-free diet is essential for managing the condition. Foods containing wheat, barley, and rye must be completely avoided to prevent adverse reactions and damage to the intestines. This dietary restriction is crucial to ensure the child's health and well-being in managing celiac disease effectively.