. A nurse is caring for a child who has been diagnosed with bacterial meningitis. Which of the following should the nurse monitor in the child? (Select All that Apply.)

Manifestations that could indicate a sepsis infection

Long-term effects that result from a prolonged recovery

Blood pressure that could indicate hypertension

Heart problems that result from cardiac dysfunction

A decrease in body temperature as a sign of bacterial meningitis progression

Answer and Explanation

Correct Answer : A,B,C

A. Manifestations that could indicate a sepsis infection should be monitored closely as bacterial meningitis can lead to septicemia. Signs such as low blood pressure, rapid heart rate, and poor perfusion need immediate attention.

B. Long-term effects that result from a prolonged recovery should be considered. Children recovering from bacterial meningitis may develop complications such as hearing loss, cognitive delays, or motor impairments, requiring long-term follow-up.

C. Blood pressure that could indicate hypertension should be monitored, as increased intracranial pressure (ICP) from meningitis may lead to systemic hypertension, an important parameter to manage during acute illness.

D. Heart problems that result from cardiac dysfunction are not commonly associated with bacterial meningitis itself. However, indirect complications such as septic shock could affect cardiac function, although this is less direct.

E. A decrease in body temperature as a sign of bacterial meningitis progression is incorrect. Hypothermia is not typically a sign of meningitis progression. Fever is a more common manifestation of bacterial meningitis and should be monitored instead.

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

Explanation

A. They may believe that death is punishment for bad behavior. Preschool-aged children may have a limited understanding of death and may see it as a form of punishment for wrongdoing. They may not fully comprehend that death is a natural event.

B. They may believe that death is temporary or reversible. At this age, children tend to have magical thinking and may believe that the deceased person can come back to life or that they will return after a period of time.

E. They may believe that death is caused by their thoughts. Preschoolers often struggle with the concept of causality and may believe that their thoughts or wishes could cause something to happen, including death.

C. They may have a fear of death and view it as something to be avoided. While some preschoolers may fear death, this is more common in older children or adolescents who begin to grasp the permanency of death.

D. They understand death as a natural part of the life cycle. Preschool children typically do not have a fully developed understanding of death as part of the life cycle; they may not recognize its natural inevitability.

F. They have a concrete understanding of death as a permanent cessation of life. A concrete understanding of death is usually not achieved until later childhood (around 7-9 years of age) when children start to understand the permanence and finality of death.

A. Most children with febrile seizures do not require seizure medicine B. My child's 4-year-old sibling is also at high risk for febrile seizures C. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly D. My child will now take anticonvulsants every day to prevent seizures E. My child could have another febrile seizure

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

Explanation

A. Most children with febrile seizures do not require seizure medicine is correct. Febrile seizures are typically self-limiting and do not require daily anticonvulsant therapy. Most children outgrow them.
B. My child's 4-year-old sibling is also at high risk for febrile seizures is incorrect. Febrile seizures most commonly occur in children between 6 months and 5 years old, so the 4-year-old sibling is not necessarily at high risk.
C. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly is correct. While acetaminophen may help lower fever, it should be used cautiously and only to prevent fever from becoming very high quickly.
D. My child will now take anticonvulsants every day to prevent seizures is incorrect. Anticonvulsants are generally not needed for febrile seizures unless there is a specific medical indication, such as recurrent seizures not related to fever.
E. My child could have another febrile seizure is correct. Children who have had a febrile seizure are at an increased risk of experiencing another one, especially if they continue to have fevers.

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. A nurse is caring for a child who has been diagnosed with bacterial meningitis. Which of the following should the nurse monitor in the child? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

How do preschool-aged children typically understand death? (Select All that Apply.)

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

Explanation

The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

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

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?

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