A nurse is preparing a presentation for a parent group about media and the school-aged child. Which of the following statements should be included in the presentation?
Playing video games right before bed will promote sleep.
Electronic devices should be powered off and left outside your child's room each night.
Computers and TVs should be located in the child's room for convenience
Your child should not watch more than three hours of TV a day.
The Correct Answer is B
A. Video games and other stimulating electronic media before bedtime can interfere with sleep onset and quality by increasing arousal and exposure to blue light, which suppresses melatonin production. Encouraging gaming before bed is contrary to sleep hygiene recommendations for school-aged children.
B. Limiting access to electronic devices during bedtime supports healthy sleep patterns, reduces exposure to inappropriate content, and encourages family interaction or reading. Current pediatric guidelines recommend removing TVs, computers, and mobile devices from the bedroom to prevent sleep disturbances and excessive media use.
C. Having electronic devices in the child’s bedroom increases the risk of excessive screen time, sleep disruption, and reduced physical activity. Devices should instead be located in shared family spaces to allow for monitoring and balanced use.
D. The American Academy of Pediatrics recommends no more than 1–2 hours of recreational screen time per day for school-aged children. Three hours exceeds this limit and does not align with evidence-based guidance on healthy media use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A 4-year-old should typically speak in 4–5-word sentences, sing simple songs, tell imaginative stories, and identify basic colors. The behaviors described align well with normal developmental milestones for this age, indicating appropriate language, cognitive, and social development.
B. There is no indication of delay. In fact, the child is meeting expected developmental milestones. Recommending an evaluation is unnecessary and may cause unwarranted concern.
C. Imaginary friends and storytelling are common and healthy components of imaginative play at this age. They are not signs of a problem, nor are they typically linked to TV use.
D. While the child is developing well, the described skills fall within the normal range for a 4-year-old. Calling the child advanced would be inaccurate and could lead to unrealistic expectations.
Correct Answer is D
Explanation
A. Children with DKA are more likely to exhibit fatigue, lethargy, or altered mental status rather than hyperactivity. Hyperactivity may be seen in early stages of mild hypoglycemia, but DKA involves significant metabolic derangements that usually depress CNS activity. Therefore, hyperactivity is not a characteristic manifestation of DKA.
B. DKA usually causes tachycardia due to dehydration and compensatory mechanisms to maintain perfusion. Hypovolemia reduces circulating blood volume, prompting the heart to beat faster to maintain cardiac output. Bradycardia is uncommon and may indicate severe electrolyte imbalance or late-stage shock rather than typical DKA presentation.
C. In DKA, dehydration is a major concern. Children typically present with warm, dry, flushed skin due to fluid loss, hyperosmolarity, and osmotic diuresis. Pale, clammy, or moist skin is more characteristic of hypoglycemia or acute shock from other causes, not DKA.
D. This is the most characteristic finding in DKA. Kussmaul respirations, which are deep and rapid breaths, develop as a compensatory mechanism for metabolic acidosis. The body attempts to "blow off" carbon dioxide to partially correct the acid-base imbalance. The acetone (fruity) odor results from the accumulation of ketone bodies (acetoacetate, β-hydroxybutyrate, and acetone) in the blood. These ketones arise from fat breakdown secondary to insulin deficiency. This manifestation is both specific and clinically significant, helping differentiate DKA from other conditions.
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