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. While play therapy can be beneficial, it is not the primary focus for a 10-year-old child’s psychosocial needs related to Erikson’s stage.

B. Encouraging visits from friends supports the child's need for social interaction, which is important for psychosocial development during hospitalization.

C. Encouraging the child to complete school work helps maintain a sense of normalcy and supports the child’s need for achievement and competence, which is central to Erikson’s stage of industry vs. inferiority.

D. Consistency is important, and varying the child's schedule may add stress rather than support their psychosocial needs.

A. Collect all urine. B. No venipuncture or blood pressure in left arm C. Contact precautions D. Do not palpate abdomen.

Correct Answer is D

Explanation

A. Collecting all urine may be relevant in certain conditions, such as kidney function monitoring, but it is not specific to Wilms' tumor management.

B. Restrictions on venipuncture or blood pressure in a specific arm are relevant for conditions like lymphedema or post-mastectomy, not Wilms' tumor.

C. Contact precautions are necessary for infectious diseases, not applicable to Wilms' tumor.

D. Wilms' tumor is a renal tumor, and palpating the abdomen could potentially cause the tumor to rupture and spread malignant cells. Therefore, it is critical to avoid any abdominal palpation in these patients.

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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 planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?

Correct Answer is C

Explanation

A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?

Correct Answer is D

Explanation

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

A school-aged child is diagnosed with streptococcal pharyngitis. What of the following clinical manifestations should the nurse expect?

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)

A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?

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?