The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Change the routine of the preschooler often to stimulate initiative.

Reward the child for initiative in order to build self-esteem.

As a parent, decide how and with whom the child will play

Do not set limits on the preschooler's behavior as this results in low self-esteem.

Answer and Explanation

The Correct Answer is B

A.   Changing routines frequently might confuse the child rather than stimulate initiative.
B.   Rewarding the child for showing initiative positively reinforces the behavior and encourages further development.
C.   Allowing the child to make choices about playmates can foster independence but may not directly stimulate initiative.
D.   Setting appropriate limits is important for a child's development, but not setting any limits can lead to behavioral issues rather than promoting initiative.

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Correct Answer is ["B","C","D","E","F"]

Explanation

A. Past medical history is important but may not directly address current psychosocial concerns related to the child's asthma.
B. Transportation to healthcare facilities can be a significant psychosocial issue, as it may impact access to care and treatment adherence.
C. Assessing health maintenance needs can uncover barriers to care and support required for managing the chronic illness.
D. The nurse should discuss with the child and the family the goals and expectations for the child's asthma control and quality of life. The nurse should also inform them about any new or alternative therapies that may be available or suitable for the child.
E. The school's response to the chronic illness can affect the child's social and emotional well-being.
F. Health insurance coverage may impact the child's access to necessary healthcare services and medications, influencing their psychosocial experiences.

A. Provide early feedings to prevent hypoglycemia B. Maintain oxygen saturation parameters C. Obtain hemoglobin and hematocrit laboratory tests D. Monitor urinary output E. Insert a peripheral IV

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B. Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C. Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D. Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E. A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.

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The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting a psychosocial assessment of a child with asthma brought to the healthcare provider's office for a check-up Which psychosocial issues may be assessed? Select all that apply.

Correct Answer is ["B","C","D","E","F"]

Explanation

A 20-hour-old neonate is suspected of having polycythemia. Which nursing intervention(s) will the nurse utilize to provide care for this neonate? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?

The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9-year-old girl what number would the nurse document measurement?

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The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?