The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

"Tell me about the circumstances when this occurs."

"Is there a family history of diabetes?"

"Suddenly having accidents can be a sign of diabetes."

"That's normal: don't worry about it."

Answer and Explanation

The Correct Answer is A

A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.

Understanding the context can help identify possible underlying causes and guide appropriate interventions.

B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.

C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.

D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.

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Correct Answer is B

Explanation

A. Absorption of drugs administered by subcutaneous injection is increaseD. Subcutaneous absorption can vary based on factors such as blood flow and tissue characteristics, but it is generally slower and more variable compared to intramuscular absorption.

B. Absorption of intramuscularly administered drugs is fairly constant: Intramuscular absorption tends to be more consistent compared to subcutaneous absorption. However, absorption rates can still be affected by factors such as muscle mass and blood flow.

C. Topical drugs are absorbed more quickly in young children than adults: Topical drug absorption can be influenced by factors such as skin thickness and permeability, but absorption rates may not necessarily be faster in young children compared to adults.

D. Oral drugs are absorbed more quickly in children than adults: This statement is generally incorrect. While gastrointestinal transit time may be faster in children, other factors such as

gastric pH and enzymatic activity can affect oral drug absorption, and absorption rates may not always be faster in children compared to adults.

A. Transduction B. Centration C. Magical thinking D. Animism

Correct Answer is C

Explanation

A. Transduction - Transduction refers to the process of reasoning from one specific instance to another without necessarily understanding the broader concept. The girl's statement about the sky and her throat does not demonstrate this mental process.

B. Centration - Centration involves focusing on only one aspect of a situation while ignoring others. The girl's statement may involve a degree of focus, but it's more indicative of a broader imaginative process.

C. Magical thinking - Magical thinking involves attributing human emotions or characteristics to inanimate objects or natural phenomena. The girl's belief that the sky is crying because it's sad about her throat hurting reflects this type of thinking.

D. Animism - Animism is a belief system that attributes life or consciousness to natural objects or phenomena. While the girl's statement involves anthropomorphizing the sky, it specifically

involves emotions rather than attributing life itself to the sky. Therefore, magical thinking is a more accurate description.

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The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

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Naxlex Comprehensive Predictor Exams

When describing the differences affecting the pharmacokinetics of drugs administered to children, which would the nurse include?

Correct Answer is B

Explanation

The nurse is caring for a 5-year-old girl post-tonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?

Correct Answer is C

Explanation

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