A nurse is performing a developmental assessment on a 4-year-old client. What assessment finding would warrant further investigation?

The client has urinary and bowel continence.

The client is unable to tie their shoes.

The client introduces their "friend" who is not visible to the nurse.

The client speaks in 2-3 word sentences.

Answer and Explanation

The Correct Answer is D

A. Urinary and bowel continence is expected by age 4, so this does not warrant further investigation.

B. Tying shoes is a skill typically developed later, around 5-6 years of age, so not being able to do so at age 4 is not concerning.

C. Having an imaginary friend is common in children around this age and is not a cause for concern.

D. Speaking in 2-3 word sentences is typical for a younger child, around 2 years of age. By age 4, a child should be able to speak in more complex sentences, so this finding warrants further investigation.

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Correct Answer is B

Explanation

A. Enriched bread may contain some calcium, but it's not as rich a source as other options.

B. White beans are a good source of calcium, which is important for bone health in preschoolers.

C. Fortified cereal may contain added calcium, but it may not be as naturally rich as other food sources.

D. While spinach contains calcium, it also contains oxalates, which can inhibit calcium absorption, making it a less effective source of dietary calcium.

A. Oral penicillin B. Labetalol C. Aggressive intravenous fluid resuscitation D. Prednisone

Correct Answer is D

Explanation

A. Oral penicillin is not a primary treatment for nephrotic syndrome. Antibiotics may be used if there is an associated infection, but they are not central to the management of nephrotic syndrome itself.

B. Labetalol is a medication used for hypertension and would not be specifically indicated for nephrotic syndrome unless hypertension is present.

C. Aggressive intravenous fluid resuscitation is not typically used in nephrotic syndrome; instead, fluid management focuses on balancing fluid intake and output carefully.

D. Prednisone, a corticosteroid, is commonly used to reduce inflammation and proteinuria in nephrotic syndrome. It helps to manage the condition effectively by addressing the underlying inflammation.

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A nurse is performing a developmental assessment on a 4-year-old client. What assessment finding would warrant further investigation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium?

Correct Answer is B

Explanation

A nurse is caring for a pediatric client who has been admitted with nephrotic syndrome. Which medication should the nurse expect to administer for the therapeutic management of nephrotic syndrome?

Correct Answer is D

Explanation

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