What is the most appropriate nursing diagnosis for a child diagnosed with moderate anemia?
Risk for injury related to depressed sensorium.
Decreased cardiac output related to abnormal hemoglobin.
Activity intolerance related to generalized weakness.
Risk for Injury related to dehydration and abnormal hemoglobin.
The Correct Answer is C
The correct answer is choice C. Activity intolerance related to generalized weakness.
Choice A rationale:
Risk for injury related to depressed sensorium. This choice is not the most appropriate nursing diagnosis for a child with moderate anemia. While anemia can lead to fatigue and weakness, the main concern is the child's ability to tolerate physical activities, not the risk of injury due to a depressed sensorium.
Choice B rationale:
Decreased cardiac output related to abnormal hemoglobin. This choice is not the most suitable nursing diagnosis for a child with moderate anemia. While abnormal hemoglobin levels can affect cardiac output, moderate anemia typically doesn't lead to such a significant decrease in cardiac output that it becomes the primary nursing diagnosis. Activity intolerance is a more relevant concern.
Choice C rationale:
Activity intolerance related to generalized weakness. This is the most appropriate nursing diagnosis for a child diagnosed with moderate anemia. Moderate anemia results in a decrease in oxygen-carrying capacity, leading to generalized weakness and reduced ability to perform physical activities without becoming fatigued. The child's hemoglobin levels are likely low enough to cause noticeable activity intolerance.
Choice D rationale:
Risk for Injury related to dehydration and abnormal hemoglobin. This choice is not the best nursing diagnosis for a child with moderate anemia. Dehydration may exacerbate the effects of anemia, but the primary issue here is the anemia itself causing weakness and activity intolerance, which are better addressed with the choice C diagnosis.
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Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Cardiac valve damage.
Choice A rationale:
Pulmonary hypertension is not a common complication of rheumatic fever. Rheumatic fever primarily affects the heart, joints, skin, and brain, and pulmonary hypertension is not a typical manifestation of this condition.
Choice B rationale:
Cardiac valve damage is a common and serious complication of rheumatic fever. Rheumatic fever is caused by an autoimmune reaction to untreated streptococcal infections, particularly Streptococcus pyogenes. The immune response targets not only the streptococcal bacteria but also the body's own tissues, especially heart valves. This can lead to inflammation of the heart valves, a condition known as rheumatic heart disease. Over time, repeated bouts of rheumatic fever can result in significant damage to the heart valves, leading to valve insufficiency or stenosis. This can ultimately cause heart failure and other cardiovascular complications.
Choice C rationale:
Seizures are not a common complication of rheumatic fever. Rheumatic fever primarily affects the heart and other body systems, but it does not typically lead to seizures.
Choice D rationale:
Cardiac arrhythmias are possible complications of rheumatic fever, but they are not as common or significant as cardiac valve damage. The inflammation and scarring caused by rheumatic fever can disrupt the electrical pathways of the heart, potentially leading to arrhythmias. However, the more prevalent and severe consequence of rheumatic fever is the damage to the heart valves.
Correct Answer is D
Explanation
The correct answer is choice D: Sex can be presented as a normal part of growth and development.
Choice A rationale:
Children in 5th grade are generally around 10 to 11 years old, which means they are approaching puberty and experiencing physical changes. While it might be tempting to think that they are too young for sex education, it's important to acknowledge that they are at an age where their bodies are undergoing significant transformations. Providing them with age-appropriate sex education can empower them to understand these changes and navigate them safely.
Choice B rationale:
Correct terminology should not be reserved solely for older children. Using accurate and age-appropriate terminology when discussing topics related to sex and development is crucial. Children in 5th grade are capable of understanding basic anatomical terms and concepts, which can help them better comprehend their own bodies and the changes they are experiencing.
Choice C rationale:
Encouraging children to ask questions is an essential part of sex education. s reflect curiosity and a desire to learn. Discouraging questions can lead to misinformation and misunderstandings. Open dialogue about sex and development can help dispel myths and promote healthy attitudes toward these topics.
Choice D rationale:
Presenting sex as a normal part of growth and development is the foundation of comprehensive and age-appropriate sex education. Children in 5th grade are entering a stage of life where they might start experiencing sexual curiosity and have questions about their bodies. Addressing these questions in a respectful and factual manner can help them develop a healthy understanding of their own sexuality and promote safe behaviors.
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