A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child?

Understanding the cause of illness

Awareness of body functioning

Describing manifestations of illness

Relating fears to magical thinking

Answer and Explanation

The Correct Answer is D

Choice A reason: Preschool-age children are beginning to understand causality, but they do not fully grasp the cause of illnesses, which often involves complex biological processes.

Choice B reason: While preschoolers are becoming more aware of their bodies, they typically do not have a detailed understanding of body functioning.

Choice C reason: Preschoolers may describe how they feel when they are ill, but they usually cannot accurately describe the manifestations of illnesses.

Choice D reason: Preschoolers often engage in magical thinking, where they believe their thoughts can cause events. This is a normal part of their cognitive development and can include relating fears to magical thinking.

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Correct Answer is A

Explanation

Choice A reason: Oral rehydration therapy is the first-line treatment for dehydration due to diarrhea, as it effectively restores fluid and electrolyte balance.

Choice B reason: While chicken broth may provide some salt, it lacks the necessary electrolytes and glucose needed for effective rehydration.

Choice C reason: A hypertonic IV solution is not typically used for dehydration due to diarrhea, as it can exacerbate fluid shifts and dehydration.

Choice D reason: Keeping a child NPO is not recommended as it can lead to further dehydration and delay recovery.

A. Initiate bed rest. B. Prepare the family for surgery. C. Place an NG tube for decompression. D. Encourage a high-fiber, low-protein, low-calorie diet.

Correct Answer is B

Explanation

Choice A reason: Bed rest is not a specific treatment for Hirschsprung's disease. While rest may be part of preoperative care, it does not address the underlying issue of the disease⁹.

Choice B reason: Surgery is the definitive treatment for Hirschsprung's disease. The pull-through procedure is commonly used to remove the affected section of the colon and connect the healthy part to the anus⁷.

Choice C reason: An NG tube may be used for decompression if there is a bowel obstruction, but it is not a treatment for Hirschsprung's disease itself. Surgery is required to correct the absence of nerve cells in the colon⁹.

Choice D reason: A high-fiber diet is not recommended before surgery as it may increase the risk of enterocolitis and bowel obstruction in patients with Hirschsprung's disease⁹.

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A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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