A nurse is caring for three toddlers and one preschooler. Which represents the major stressor of hospitalization for these four patients?
Fear of bodily injury
Fear of pain
Separation anxiety
Loss of control
The Correct Answer is C
A. Fear of bodily injury is a concern but may not be as prominent as separation anxiety, particularly in younger children.
B. Fear of pain is significant but often secondary to the anxiety of being separated from parents.
C. Separation anxiety is the most prominent stressor for toddlers and preschoolers, as they struggle with being away from their caregivers.
D. Loss of control can contribute to stress but is more relevant in older children who understand their environment more clearly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A urinary output of 100 mL/hr is within the expected range for a 10-year-old and does not indicate septic shock. In early septic shock, urinary output is often preserved or mildly decreased.
B. An elevated temperature (fever) is a hallmark of early septic shock as the body mounts an inflammatory response to infection. Fever often accompanies early sepsis in pediatric patients.
C. Blood pressure may remain normal or slightly elevated in early septic shock due to compensatory mechanisms. A BP of 130/90 mm Hg is not a defining feature.
D. A heart rate of 60/min is abnormally low for a 10-year-old and could indicate late-stage shock or other complications. In early septic shock, tachycardia (elevated heart rate) is typically observed.
Correct Answer is B
Explanation
A. Typically, infants are kept NPO for 1-2 hours before a lumbar puncture, not 6 hours.
B. Holding the infant’s chin to the chest and knees to the abdomen during the lumbar puncture is the correct positioning. This position opens the intervertebral spaces and allows for easier access to the spinal cord.
C. Eutectic mixture of lidocaine and prilocaine (EMLA) cream should be applied 60 minutes before the procedure for effective local anesthesia, not 15 minutes.
D. After the procedure, the infant should be placed flat to avoid pressure on the lumbar area, not in an infant seat. The infant should be positioned on their back or side to prevent strain.
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