A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

Understands that death is permanent.

Perceives death as a punishment.

Worries about physical body changes.

Has feelings of isolation.

Answer and Explanation

The Correct Answer is B

The correct answer is choice b. Perceives death as a punishment.

Choice A rationale:

Preschool-aged children generally do not understand that death is permanent. They often view death as temporary or reversible, similar to what they see in cartoons.

Choice B rationale:

Preschoolers may perceive death as a punishment for something they did or thought. This age group often feels guilt and shame, believing their actions or thoughts caused the illness or death.

Choice C rationale:

Worrying about physical body changes is more typical in older children who have a better understanding of the physical aspects of illness and death.

Choice D rationale:

Feelings of isolation are more common in older children and adolescents who are more aware of social dynamics and the implications of their illness.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale:
Headache is an expected finding in a school-age child with bacterial meningitis. Bacterial meningitis is an inflammation of the meninges, and the membranes surrounding the brain and spinal cord, often caused by bacteria. The inflammatory process can lead to increased intracranial pressure, which commonly presents as a headache. This headache is often severe and can be accompanied by other symptoms like fever, irritability, and sensitivity to light.
Choice B rationale:
A negative Kernig sign is a possible finding in a school-age child with bacterial meningitis. Kernig sign is a clinical test performed to assess for meningitis. A positive Kernig sign is characterized by resistance and pain in extending the knee when the hip is flexed at a 90-degree angle. However, a negative Kernig sign does not rule out meningitis, as it might not always be present.
Choice C rationale:
Vomiting is an expected finding in a school-age child with bacterial meningitis. The increase in intracranial pressure due to inflammation of the meninges can lead to nausea and vomiting. The vomiting is often projectile and may not be relieved by eating or drinking.
Choice D rationale:
Seizures are an expected finding in a school-age child with bacterial meningitis. The inflammation of the brain and meninges can irritate the brain tissue and trigger seizures. Seizures in the context of bacterial meningitis might be generalized or focal in nature.
Choice E rationale:
Tinnitus (ringing in the ears) is not a typical finding associated with bacterial meningitis. The main symptoms of bacterial meningitis are related to the central nervous system and meningeal irritation, such as headache, fever, neck stiffness, and neurological changes. Tinnitus is not a common manifestation of bacterial meningitis and is not part of the typical clinical picture.

A. A 34-month-old child who has several small bruises on the shins. B. A 6-year-old child who has a fracture of the arm from a bicycle injury. C. A 15-month-old child who bites other children while at daycare. D. A 4-year-old child who has a history of frequent urinary tract infections.

Correct Answer is D

Explanation

A history of frequent urinary tract infections (UTIs) is a sign of child maltreatment. It may indicate sexual abuse, which can introduce bacteria into the urinary tract.Sexual abuse may also cause genital or anal trauma, sexually transmitted infections, or pregnancy 1. UTIs are uncommon in children, especially in boys.The normal frequency of UTIs in children is around 1 in 10 girls and 1 in 30 boys by the age of 16 years

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A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?

Correct Answer is D

Explanation

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