A nurse on a pediatric unit is assisting with the admission of a toddler who has pneumonia. The nurse should identify that which of the following findings is an expected behavior of hospitalization?
Experiences separation anxiety.
Fears a loss of control.
Feels hospitalization is punishment.
Develops body image disturbance.
The Correct Answer is B
Choice A reason:
Experiences separation anxiety - This is a common behavior seen in toddlers during hospitalization. Being away from their parents or caregivers and being in an unfamiliar environment can lead to feelings of anxiety and distress. Separation anxiety is a natural response for young children who rely on their primary caregivers for comfort and security.
Choice B reason:
Fears a loss of control - Toddlers may feel overwhelmed and fearful when they find themselves in a hospital setting. The loss of control over their daily routines and environment can be frightening for them. They may be unable to understand the reasons behind medical procedures or interventions, further increasing their anxiety.
Choice C reason:
Feels hospitalization is punishment - While some children might have difficulty understanding the reasons for hospitalization, it is less common for them to perceive it as punishment.
Children at this age often lack the cognitive capacity to associate their illness with punishment.
Choice D reason:
Develops body image disturbance - Body image disturbance is not a typical behavior observed in toddlers during hospitalization. This issue is more common in older children or adolescents who may experience changes in their appearance due to medical conditions or treatments.
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Related Questions
Correct Answer is D
Explanation
Choice A reason:
Take this medication every day for regular bowel movements. Rationale: This choice is incorrect. Docusate sodium is a stool softener used to prevent constipation, but it should not be taken daily for regular bowel movements. Overuse of stool softeners can lead to dependence and may disrupt the natural bowel function.
Choice B reason:
Take the medication with mineral oil. Rationale: This choice is incorrect. Docusate sodium should not be taken with mineral oil. When taken together, they can form a mixture that is difficult for the body to absorb, leading to potential adverse effects.
Choice C reason:
Decrease dietary fiber intake while taking this medication. Rationale: This choice is incorrect. It is not advisable to decrease dietary fiber intake while taking docusate sodium. Fiber is essential for promoting regular bowel movements and overall gastrointestinal health.
Combining the medication with a high-fiber diet can enhance its effectiveness.
Choice D reason:
Take the medication with a full glass of water. Rationale: This choice is correct. The nurse should instruct the client to take docusate sodium with a full glass of water. The water helps to soften the stool and allows the medication to work effectively in preventing constipation.
Correct Answer is C
Explanation
Choice A reason:
Rotavirus The nurse does not need to administer the Rotavirus vaccine in this scenario. Rotavirus immunization is typically given to infants between 2 and 6 months of age to protect against severe diarrhea caused by the virus. Since the child in question is 4 years old and up to date on current immunizations, this vaccine is not necessary.
Choice B reason:
Hepatitis B (Hep B) Similarly, the Hepatitis B vaccine is usually given shortly after birth and completed in a series of doses over the first year of life. Since the 4-year-old child is up to date on immunizations, the Hep B vaccine would have already been administered as part of the routine childhood vaccination schedule.
Choice C reason:
Varicella The Varicella vaccine, also known as the chickenpox vaccine, is typically given between 12 and 15 months of age and then again at 4 to 6 years old. Since the child is 4 years old and up to date on immunizations, it is now time for them to receive the second dose of the Varicella vaccine, making Choice C the correct answer.
Choice D reason:
Haemophilus influenza (Hib) The Haemophilus influenza (Hib) vaccine is usually given to infants starting at 2 months of age and is administered in multiple doses. By 4 years old, the child would have completed the primary series of the Hib vaccine. Therefore, there is no need to administer this vaccine again.
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