A nurse is collecting growth and development data from a 5-year-old child during a well-child visit. Which of the following statements by the parent indicates the child's cognitive and language skills require further investigation?
"My child speaks 3 to 4 word sentences."
"My child can count to 10."
"My child can identify simple rhythms."
"My child knows the names of 5 colors."
The Correct Answer is A
A. "My child speaks 3 to 4 word sentences." This statement suggests a delay in language development for a 5-year-old. By this age, children should be able to form longer sentences, typically around 5 to 6 words. Speaking in only 3 to 4-word sentences could indicate a need for further evaluation of the child's language development.
B. "My child can count to 10." This is appropriate for a 5-year-old. Many children at this age are able to count to 10, which is a common milestone for their cognitive development.
C. "My child can identify simple rhythms." This is also a normal skill for a 5-year-old. The ability to identify simple rhythms reflects an appropriate level of cognitive and auditory processing.
D. "My child knows the names of 5 colors." This is a typical skill for a 5-year-old child. By this age, many children can identify and name a variety of colors, so this is not a concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Blood cultures are typically used to detect systemic infections or bacteremia, not Clostridium difficile, which is a bacterial infection primarily affecting the intestines.
B. A stool specimen for culture is the appropriate diagnostic test when C. difficile is suspected, as it can confirm the presence of the bacteria responsible for the infection. The stool test detects toxins A and B, which are produced by C. difficile and cause severe diarrhea.
C. The term "C. diff test" is too vague and does not specify a standard laboratory procedure. The correct test involves stool culture or toxin detection.
D. A stool test for occult blood checks for hidden blood in the stool, which may indicate gastrointestinal bleeding but does not diagnose C. difficile.
Correct Answer is B
Explanation
A. Offering one banana and 1/2 cup of rice with each meal is incorrect. Although bananas and rice are part of the BRAT diet, which is sometimes recommended for diarrhea, the primary concern in mild dehydration is restoring fluids first. Once hydration is managed, a regular diet can be resumed.
B. Giving 2 tsp of oral rehydration solution every 5 to 10 minutes is correct. Small, frequent amounts of oral rehydration solution (ORS) help replace lost fluids without overwhelming the stomach, reducing the risk of further vomiting or diarrhea. ORS is the preferred treatment for mild dehydration.
C. Encouraging intake of fruit juices is incorrect. Fruit juices, especially apple or pear juice, contain high amounts of sugar, which can worsen diarrhea by drawing water into the intestines and increasing stool output. Instead, ORS should be used to rehydrate the child.
D. Administering promethazine as needed is incorrect. Promethazine is an antiemetic that is not typically recommended for children due to the risk of sedation and potential side effects. Additionally, vomiting is not the primary symptom of E. coli infections, so rehydration should be the main focus.
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