A previously "potty-trained" 30 month old child had reverted to wearing diapers while hospitalized. The nurse should recognize:
Developmental delays occur because of hospitalizations.
The child is too young to be potty trained.
Regression is sometimes seen during hospitalization.
The child is experiencing urinary urgency as a result of the hospitalization.
The Correct Answer is C
A. Developmental delays occur because of hospitalizations.
This statement implies that the hospitalization itself causes developmental delays, which is not accurate. Hospitalization might disrupt routines, but it does not directly cause developmental delays.
B. The child is too young to be potty trained.
The child was previously "potty-trained," so age is not the primary factor. Regression in toilet training can occur for various reasons.
C. Regression is sometimes seen during hospitalization.
This statement is correct. Regression, including reverting to behaviors like wearing diapers, can occur in response to stress, illness, or changes in routine, such as hospitalization.
D. The child is experiencing urinary urgency as a result of the hospitalization.
While urinary urgency can be a possibility, the given scenario emphasizes the regression to wearing diapers, which is more indicative of behavioral regression rather than a physical issue like urgency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. FACES
The FACES scale, often depicted with a series of faces displaying different expressions, is commonly used for children who can understand and respond to a scale of faces indicating different levels of pain. It is suitable for older children who can articulate their feelings.
B. FLACC
The FLACC (Face, Legs, Activity, Cry, Consolability) scale is commonly used to assess pain in preverbal and non-verbal children, such as a 4-year-old. It evaluates the child's facial expression, leg movement, activity level, cry, and ease of consolability to determine the level of pain.
C. APPT
There is no widely recognized pain assessment tool referred to as "APPT." It may be a term specific to a certain context or institution.
D. Numeric
Numeric pain scales involve asking individuals to rate their pain on a numerical scale, usually ranging from 0 to 10. These scales are often used with older children and adults who can understand and communicate numerical values to describe their pain intensity.
Correct Answer is B
Explanation
A. Hyperactivity of sweat glands:
In cystic fibrosis (CF), there is an abnormality in the CF transmembrane conductance regulator (CFTR) protein, leading to increased salt concentration in sweat. However, this is not the primary factor responsible for the diverse clinical manifestations in CF. The primary issue lies in the abnormal production of thick and sticky mucus affecting various organs.
B. Mechanical obstruction caused by increased viscosity of mucous gland secretion:
This is the correct choice. CF is characterized by the production of thick and sticky mucus due to abnormal CFTR protein function. This increased viscosity leads to mechanical obstruction in organs such as the respiratory, digestive, and reproductive systems, causing a range of clinical manifestations.
C. Hypoactivity of the autonomic nervous system:
CF is not characterized by hypoactivity of the autonomic nervous system. The primary issue lies in the mechanical obstruction caused by the abnormal mucus production.
D. Atrophic changes in the mucosal wall of the intestines:
Atrophic changes in the mucosal wall of the intestines are not the primary factor responsible for the clinical manifestations of CF. The key problem is the mechanical obstruction due to increased viscosity of mucous gland secretions.
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