A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child?

Understanding the cause of illness

Awareness of body functioning

Describing manifestations of illness

Relating fears to magical thinking

Answer and Explanation

The Correct Answer is D

Choice A reason: Preschool-age children are beginning to understand causality, but they do not fully grasp the cause of illnesses, which often involves complex biological processes.

Choice B reason: While preschoolers are becoming more aware of their bodies, they typically do not have a detailed understanding of body functioning.

Choice C reason: Preschoolers may describe how they feel when they are ill, but they usually cannot accurately describe the manifestations of illnesses.

Choice D reason: Preschoolers often engage in magical thinking, where they believe their thoughts can cause events. This is a normal part of their cognitive development and can include relating fears to magical thinking.

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Correct Answer is A

Explanation

Choice A reason: The anterolateral thigh is the recommended site for intramuscular injections in toddlers due to the well-developed muscles and minimal risk of injury to nerves or blood vessels.

Choice B reason: Dividing the medication into two injections may be necessary for large volumes, but influenza vaccines typically do not require this.

Choice C reason: A 22-25 gauge needle is recommended for intramuscular injections in toddlers to minimize discomfort and tissue damage.

Choice D reason: While the supine position is not incorrect, a comfortable sitting position is preferable for toddlers to reduce anxiety and ensure a smooth vaccination process.

A. Sweat chloride content 85 mEq/L B. 72-hour stool analysis sample indicating hard, packed stools C. Increased blood levels of fat-soluble vitamins D. Chest x-ray negative for atelectasis

Correct Answer is A

Explanation

Choice A reason: A sweat chloride content of 85 mEq/L is indicative of cystic fibrosis, as normal values are below 30 mEq/L, and values above 60 mEq/L are diagnostic for cystic fibrosis.

Choice B reason: Hard, packed stools could be a sign of cystic fibrosis but are not as diagnostic as a sweat chloride test.

Choice C reason: Increased blood levels of fat-soluble vitamins are not typically associated with cystic fibrosis; patients often have deficiencies due to malabsorption.

Choice D reason: A chest x-ray negative for atelectasis does not indicate cystic fibrosis, as atelectasis can be present in many conditions.

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A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child?

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