Click to highlight the findings that require immediate follow-up. (Select all that apply)

Choice A reason: Performing assessments without parents risks increasing preschooler anxiety, as parental presence provides comfort. Encouraging play is more appropriate. Assuming parent absence is ideal risks emotional distress, potentially hindering cooperation, critical to avoid in ensuring a supportive environment for young children in acute care.

Choice B reason: Using medical terminology with a preschooler is inappropriate, as they need simple explanations to reduce fear. Encouraging play supports coping. Assuming terminology is suitable risks confusion or anxiety, delaying trust-building, critical for effective communication and emotional support in young children during acute care stays.

Choice C reason: Encouraging play with toys like a pounding board promotes emotional expression and reduces stress in preschoolers, aligning with developmental needs in acute care. This fosters coping and normalcy, critical for psychological well-being, ensuring a supportive environment and enhancing recovery in young children hospitalized for acute conditions.

Choice D reason: Establishing a new routine disrupts the preschooler’s sense of security; maintaining familiar routines is preferred. Encouraging play is more beneficial. Assuming a new routine is appropriate risks increased anxiety, potentially hindering adaptation, critical to avoid in supporting emotional stability for young children in acute care settings.

Choice A reason: Obtaining vital signs every other day is insufficient for anorexia nervosa, where malnutrition can cause unstable vitals like bradycardia or hypotension. Daily or more frequent monitoring is needed, especially in the first week, making this action inadequate for ensuring patient safety.

Choice B reason: Allowing meals in the room risks unsupervised eating behaviors, such as food hiding or purging, common in anorexia nervosa. Supervised meals in a communal setting ensure intake and prevent compensatory behaviors, making this an inappropriate action for initial care.

Choice C reason: Observing the client for 1 hour after meals prevents purging, a common behavior in anorexia nervosa to avoid weight gain. This supervision ensures nutritional intake is retained, supporting refeeding and monitoring for refeeding syndrome, making it the correct action.

Choice D reason: Weighing every 48 hours is less frequent than needed in early anorexia care, where daily weights monitor refeeding progress and fluid shifts. More frequent weighing ensures timely intervention for complications, making this action less critical than post-meal observation.