A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Malaise
Tinnitus
Rhinorrhea
Drooling
The Correct Answer is A
A. Correct. Malaise, which is a general feeling of discomfort or unease, is a common manifestation of bacterial pneumonia in children.
B. Tinnitus (ringing in the ears) is not a common manifestation of bacterial pneumonia.
C. Rhinorrhea (runny nose) is not typically associated with bacterial pneumonia; it is more commonly seen in viral respiratory infections.
D. Drooling is not a common manifestation of bacterial pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A toddler running with a wide stance is a common behavior at this age and does not necessarily indicate developmental delay. Toddlers often develop a wide base of support as they learn to balance and walk more confidently.
Choice B rationale:
Falling when throwing a ball overhand requires coordination and motor skills. By the age of 24 months, most toddlers can throw a ball with some degree of accuracy. Inability to do so may indicate a developmental delay in motor skills, making choice B the correct answer.
Choice C rationale:
Referring to oneself by name is a typical language development milestone around the age of 24 months. It demonstrates a basic understanding of self-identity and language, indicating appropriate developmental progress. This choice does not suggest a delay.
Choice D rationale:
Going up stairs with two feet on each step is a gross motor skill that toddlers typically develop around 36 months of age. It requires balance and coordination. While it is advanced for a 24-month-old, it is not necessarily a sign of developmental delay. Therefore, this choice does not provide a clear indication of delay.
Correct Answer is A
Explanation
A. Correct. Beneficence refers to the ethical principle of doing good and taking actions that promote the well-being and best interests of the client. Sitting with the client to provide comfort aligns with this principle.
B. Incorrect. Autonomy relates to respecting the client's right to make decisions about their own care and treatment.
C. Incorrect. Fidelity pertains to keeping promises and maintaining trust in the nurse-client relationship.
D. Incorrect. Veracity involves truthfulness and honesty in communication with clients, particularly in providing accurate information about their care and condition.
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