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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I should keep my infected child away from his brother until he has recovered."
This statement is correct. Keeping an infected child away from siblings can help prevent the spread of bronchiolitis.
B. "I should insist that anyone who comes in contact with my children thoroughly wash their hands before playing with them."
This statement is correct. Handwashing is an important preventive measure to reduce the transmission of viruses that can cause bronchiolitis.
C. "I should insist that anyone with a respiratory illness avoid contact with my children until well."
This statement is correct. Avoiding contact with individuals who have respiratory illnesses helps reduce the risk of bronchiolitis.
D. "I should make sure both my children get a vaccination for bronchiolitis this year."
This statement needs further clarification. There isn't a specific vaccine for bronchiolitis. However, vaccination against certain viruses, such as the influenza virus (flu), can help prevent respiratory infections that may lead to bronchiolitis.
Correct Answer is C
Explanation
A. Montelukast (Singulair)
Montelukast is a leukotriene receptor antagonist used for long-term control of asthma, not for quick relief.
B. Prednisone
Prednisone is a corticosteroid used for anti-inflammatory effects and is typically used for more chronic control, not for quick relief.
C. Albuterol
Albuterol is a short-acting beta-agonist bronchodilator, which provides quick relief by relaxing the smooth muscles in the airways. This is the correct choice for quick relief.
D. Fluticasone (Flovent)
Fluticasone is an inhaled corticosteroid used for long-term asthma control, not for quick relief.
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