Nokea
The nurse is using the Centers for Disease Control and Prevention (CDC) growth chart for an African-American child. Which statement should the nurse consider?
- A. This growth chart should not be used.
- B. Growth patterns of African-American children are the same as for all other ethnic groups.
- C. A correction factor is necessary when the CDC growth chart is used for non- Caucasian ethnic groups.
- D. The CDC charts are accurate for US African-American children.
Correct Answer: C
Rationale: The correct statement for the nurse to consider is that a correction factor is necessary when the CDC growth chart is used for non-Caucasian ethnic groups. This is because the CDC growth charts were primarily developed using data from Caucasian children. Research has shown that children from different ethnic backgrounds may have differences in growth patterns compared to Caucasian children. Therefore, when using the CDC growth chart for African-American children or other ethnic groups, a correction factor may need to be applied to ensure accurate growth assessment and monitoring.
You may also like to solve these questions
Regarding speech production, the routine use of sentence sequences; conversational give and-take is usually achieved by age of
- A. 3 yr
- B. 4 yr
- C. 5 yr
- D. 6 yr
Correct Answer: C
Rationale: Children typically develop the ability to use sentence sequences and engage in conversational give-and-take by age 5.
Building a tower by a 22-month-old child requires
- A. visual-motor coordination
- B. uses visual and motor skills in combination
- C. gross and fine motor coordination
- D. symbolic thought
Correct Answer: A
Rationale: Tower building primarily involves visual-motor coordination.
A client is admitted for a spelenectomy. What problem is the nurse aware that could develop?
- A. Infection
- B. Urinary retention
- C. Congestive heart failure
- D. Viral hepatitis
Correct Answer: A
Rationale: Following a splenectomy (spleen removal), patients are at an increased risk of developing infections, particularly those caused by encapsulated bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis. The spleen plays a vital role in the immune system by filtering and clearing bacteria and viruses from the bloodstream. Without a functioning spleen, patients are more vulnerable to bacterial infections. Therefore, the nurse should be aware of the potential for infection and provide appropriate education to the client regarding infection prevention strategies, such as vaccinations and prompt medical treatment for any signs of infection.
An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:
- A. 2 to 5 of a simple carbohydrate.
- B. 18 to 20 g of a simple carbohydrat
- C. 10 to 15 g of a simple carbohydrate.
- D. 25 to 30 g of a simple carbohydrate.
Correct Answer: C
Rationale: When treating hypoglycemia, it is important to provide a quick source of sugar to raise blood glucose levels rapidly. Consuming 10 to 15 grams of a simple carbohydrate is appropriate for treating mild to moderate hypoglycemia. Examples of foods that contain approximately 10 to 15 grams of simple carbohydrates include four glucose tabs, 4 ounces of fruit juice, 5 to 6 pieces of hard candy, or 1 tablespoon of honey. It is also recommended to recheck blood glucose levels after 15 minutes and have a snack or meal to prevent glucose levels from dropping again.
At which stage of development are children apt to believe in the reversibility of death?
- A. Toddler.
- B. Preschool age.
- C. School age.
- D. Adolescent.
Correct Answer: B
Rationale: Preschool-aged children commonly believe in the reversibility of death due to their cognitive development stage, where magical thinking is prevalent.