A nurse is providing care to a toddler who has been hospitalized for a chronic illness. Which of the following statements regarding the potential impact of hospitalization on a child's health are correct? (Select All that Apply.)
It can lead to physical manifestations in children, like stomach pain, even in the absence of a specific illness or cause.
Children who are undergoing hospitalization are not affected by changes in their usual routine and environment.
Stress during hospitalization is unlikely to influence the recovery and health outcomes of pediatric clients.
It can negatively impact children's mental health.
Pediatric clients of all ages experience hospitalization in a similar manner.
Correct Answer : A,D
A. It can lead to physical manifestations in children, like stomach pain, even in the absence of a specific illness or cause: Hospitalization can be a stressful experience for toddlers, and stress may manifest as somatic symptoms such as stomachaches, headaches, or changes in appetite, even without an underlying medical cause.
B. Children who are undergoing hospitalization are not affected by changes in their usual routine and environment: Hospitalization disrupts familiar routines and environments, which can increase anxiety, stress, and behavioral changes in children.
C. Stress during hospitalization is unlikely to influence the recovery and health outcomes of pediatric clients: Stress can negatively affect immune function, pain perception, and overall recovery, making it an important factor to address in pediatric care.
D. It can negatively impact children's mental health: Hospitalization can lead to fear, anxiety, regression, and emotional distress, particularly in toddlers who have limited coping mechanisms and understanding of medical procedures.
E. Pediatric clients of all ages experience hospitalization in a similar manner: Children’s reactions to hospitalization vary widely depending on their developmental stage, temperament, previous experiences, and support systems, so experiences are not uniform across all ages.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Complete blood count: A CBC provides information about hemoglobin, hematocrit, and red and white blood cell counts, which can reflect nutritional status. Low hemoglobin or hematocrit may indicate iron deficiency anemia, while changes in white blood cells could suggest protein-calorie malnutrition or immune compromise.
B. Cardiac enzymes: Cardiac enzymes, such as troponin and CK-MB, are used to assess myocardial injury and are not related to routine nutritional monitoring in children.
C. Blood coagulation tests: Coagulation studies evaluate clotting function and liver-related disorders. While vitamin K deficiency may affect clotting, these tests are not primary indicators for overall nutritional assessment.
D. Arterial blood gases: ABGs measure acid-base balance and oxygenation status. They are not standard tests for evaluating nutritional status unless there is a specific metabolic concern.
Correct Answer is C
Explanation
A. Toddlers with bleeding disorders should only receive one vaccine at a time due to the risk of bleeding at injection site: While spacing vaccines is not necessary solely for bleeding risk, precautions such as using smaller needles, applying firm pressure after injection, and choosing appropriate injection sites are recommended. Receiving multiple vaccines is generally safe.
B. Toddlers with von Willebrand disease should only receive vaccines available as nasal sprays to avoid bleeding from intramuscular injections: Nasal vaccines are limited in availability and type. Intramuscular vaccines can still be safely administered with proper technique and post-injection pressure, making this recommendation unnecessary and restrictive.
C. Toddlers with bleeding disorders are encouraged to stay up-to-date on vaccinations. The benefit of vaccinations outweighs the risk of bleeding: Maintaining the routine vaccination schedule protects children with bleeding disorders from serious infections. With proper precautions, the risk of bleeding at injection sites is minimal and manageable.
D. Toddlers with bleeding disorders should not receive any vaccinations, because the risk of bleeding outweighs the benefit of the vaccinations: Avoiding vaccines exposes the child to preventable infectious diseases. Careful technique and monitoring allow safe vaccination without withholding protection.
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