A nurse is providing care for a child hospitalized with a diagnosis of aplastic anemia. In planning the child's care, which intervention(s) will assist the child in adapting to being hospitalized? Select all that apply.

Discuss the plan of care out of earshot of the child.

Provide opportunities for the parents to participate in the child's care.

Encourage the parents to bring personal items to make the child feel more at home.

Answer any questions the child may have in generalized terms.

Make the child's room off limits to invasive procedures.

Answer and Explanation

Correct Answer : B,C,E

A. Incorrect: Discussing the plan of care out of earshot of the child may increase anxiety and fear rather than help with adaptation.

B. Correct: Parental involvement provides comfort and emotional support, helping the child feel more secure.

C. Correct: Personal items can create a familiar and comforting environment, reducing stress.

D. Incorrect: Providing generalized answers may increase uncertainty; honest and age-appropriate communication is best.

E. Correct: Keeping the child’s room as a "safe zone" can help reduce stress related to medical procedures.

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Correct Answer is B

Explanation

A. Incorrect: Jaundice is not directly linked to iron deficiency anemia; it is more related to bilirubin metabolism.

B. Correct: Premature newborns are at highest risk because iron stores accumulate during the last trimester. Since preterm infants miss this crucial period, they have lower iron reserves.

C. Incorrect: Infants born to diabetic mothers are at risk for hypoglycemia and macrosomia, but not iron deficiency anemia.

D. Incorrect: Postterm infants typically have adequate iron stores due to prolonged gestation.

A. Toddlers engage in solitary play. B. Toddlers engage in parallel play. C. Toddlers engage in cooperative play. D. Toddlers do not engage in play outside the home.

Correct Answer is B

Explanation

A. Incorrect: Solitary play is more common in infants, while toddlers begin engaging with others.

B. Correct: Parallel play is typical for toddlers; they play next to but not directly with other children.

C. Incorrect: Cooperative play, where children actively play together, develops around preschool age (3-4 years).

D. Incorrect: Toddlers engage in play both at home and in social settings like daycare.

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A nurse is providing care for a child hospitalized with a diagnosis of aplastic anemia. In planning the child's care, which intervention(s) will assist the child in adapting to being hospitalized? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The neonatal nurse assesses newborns for iron deficiency anemia. Which newborn is at highest risk for this disorder?

Correct Answer is B

Explanation

The nurse is watching toddlers at play. Which normal behavior would the nurse observe?

Correct Answer is B

Explanation

When observing a group of preschoolers at play in the clinic waiting room, which type of play would the nurse be least likely to note?

The nurse is providing anticipatory guidance for parents of a preschooler regarding sex education. What is a recommended guideline when dealing with this issue?

The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has begun sucking her thumb and changing her speech patterns to those of a toddler. What condition is the girl manifesting?

A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?

A 12-year-old boy reports to the nurse that he is one of the shortest kids in his class. He asks the nurse if he will ever grow. What response by the nurse is most appropriate?

A nurse is assessing the fontanels of a crying newborn and notes that the posterior fontanel pulsates and briefly bulges. What do these findings indicate?

The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the infant at risk for respiratory compromise? Select all that apply.

The nurse is caring for a teen who will be hospitalized for physical rehabilitation for an extended period of time after an auto accident. When working to promote a good working relationship with the teen, what action by the nurse will be most beneficial?