Nokea
The nurse has completed an education program on normal communication abilities in the preschool-age child. Which statement by a participant indicates a need for further education?
- A. When my child counts numbers, it is only to 10 and we are slowly working on counting higher.
- B. I am glad to know that my 4-year-old child asking so many questions is normal.
- C. Stating his name and address is too hard for my 5-year-old child; it will be another year before he can do that.
- D. My child is finally talking in a way that most of my friends can understand her speech.
Correct Answer: C
Rationale: The correct answer is C. By age 5, children should be able to state their name and address. If a child cannot do this, it may indicate a developmental delay that requires further assessment. Choices A, B, and D do not indicate a need for further education as they reflect typical developmental milestones for preschool-age children, such as gradually improving counting skills, asking many questions, and improving speech clarity over time.
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The nurse is teaching the family of a child with a long-term central venous access device about signs and symptoms of bacteremia. What finding indicates the presence of bacteremia?
- A. Hypertension
- B. Pain at the entry site
- C. Fever and general malaise
- D. Redness and swelling at the entry site
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which nursing action is developmentally appropriate when caring for a hospitalized school-age child?
- A. Providing brochures regarding sexuality
- B. Giving clear instructions about details of treatment
- C. Offering medical equipment to play with prior to a procedure
- D. Using toys for distraction during a painful procedure
Correct Answer: C
Rationale: Offering medical equipment to play with prior to a procedure is developmentally appropriate when caring for a hospitalized school-age child. Allowing the child to familiarize themselves with the equipment helps reduce fear and anxiety about the upcoming procedure. Choices A, B, and D are not as appropriate for a school-age child. Providing brochures regarding sexuality is not developmentally appropriate for this age group. Giving clear instructions about treatment details may overwhelm a child of this age. Using toys for distraction during a painful procedure is more suitable for younger children.
What are classified as hydrocarbon poisons?
- A. All below
- B. Gasoline
- C. Turpentine
- D. Lighter fluid
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What play activities should the nurse implement to encourage fluid intake for a child? (Select all that apply.)
- A. Have a tea party.
- B. Use a crazy straw.
- C. Cut gelatin into fun shapes.
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What does the American Academy of Pediatrics recommend as the best form of infant nutrition?
- A. Exclusive breastfeeding until 1 year of age
- B. Exclusive breastfeeding until 6 months of age
- C. Commercially prepared infant formula until 1 year of age
- D. Commercially prepared infant formula until 4 to 6 months of age
Correct Answer: A
Rationale: The American Academy of Pediatrics advocates for exclusive breastfeeding until 1 year of age as the best form of infant nutrition. Breastfeeding for the first year of life provides optimal nutrition and benefits for the infant. Exclusive breastfeeding until 6 months of age is not in line with the AAP's recommendation for a full year. While commercially prepared infant formula is an alternative if breastfeeding is not possible, it is not the preferred choice according to AAP guidelines. The recommendation for commercial infant formula until 1 year of age is not in line with the AAP's stance on the benefits of extended breastfeeding.