When planning care for children, the nurse knows that which factor has the largest impact but is not able to be altered to influence the growth and development of children?

Genetics

Socialization

Environment

Family

Answer and Explanation

The Correct Answer is A

A. Genetics plays the most significant role in a child’s growth and development, determining many physical and psychological traits. However, it cannot be altered.

B. Socialization impacts development, but it is influenced by environmental factors and can be guided by caregivers.

C. The environment affects development, but it can be modified to support growth.

D. The family is crucial in a child's development, but its influence can also be shaped through intervention and support.

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Correct Answer is C

Explanation

A. Glyburide is an oral hypoglycemic agent used for type 2 diabetes, not type 1 diabetes, which requires insulin therapy.

B. Insulin should be injected into the subcutaneous tissue, typically in areas such as the abdomen or thighs, not the deltoid muscle.

C. Annual influenza vaccination is important for adolescents with type 1 diabetes to prevent infections that can affect blood glucose control.

D. Glucagon is used to treat severe hypoglycemia, not hyperglycemia. For hyperglycemia, insulin adjustments are necessary.

A. "Take cromolyn sodium at the first sign of breathing difficulty." B. "Avoid triggers that cause an attack." C. "You should stop playing basketball, but you can swim instead." D. "Use the peak expiratory flow meter once per week.”

Correct Answer is B

Explanation

A. Cromolyn sodium is a preventive medication and should be taken regularly as prescribed, not at the first sign of breathing difficulty.

B. Avoiding triggers that cause an asthma attack is crucial in asthma management and helps in preventing exacerbations.

C. Exercise can be managed in asthma with appropriate medication; it is not necessary to stop activities like basketball. Swimming may be less likely to trigger asthma symptoms but is not a blanket solution.

D. The peak expiratory flow meter should be used regularly, often daily, to monitor asthma control, not just once per week.

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When planning care for children, the nurse knows that which factor has the largest impact but is not able to be altered to influence the growth and development of children?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

A nurse is planning care for 2-month-old infant following a surgical procedure. Which of the following pain rating scales should the nurse plan to use to determine the infant's level of pain?

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?

A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

Coarctation of the aorta demonstrates few symptoms in newborns. What is a important assessment to the nurse make on all newborns to help reveal this condition?