Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on which statement?
Parents can meet all of the child's needs.
Constant parental supervision is needed to avoid overexertion.
Child needs to understand that peers' activities are too strenuous.
Child will limit their own activity.
The Correct Answer is D
Choice A reason: This is not a correct statement, as parents cannot meet all of the child's needs. The child needs social interaction and physical activity to promote their growth and development. The parents should encourage the child to play with other children, as long as the activities are appropriate for the child's condition.
Choice B reason: This is not a correct statement, as constant parental supervision is not needed to avoid overexertion. The parents should monitor the child's activity level and signs of fatigue, but they should not interfere with the child's play unless necessary. The parents should also teach the child to recognize and report any symptoms of overexertion, such as chest pain, shortness of breath, or dizziness.
Choice C reason: This is not a correct statement, as the child does not need to understand that peers' activities are too strenuous. The child may feel left out or inferior if they think they cannot do what their peers can do. The child should be allowed to participate in activities that are suitable for their age and ability, and that do not pose a risk to their health.
Choice D reason: This is the correct statement, as the child will limit their own activity. The child will naturally adjust their activity level to their tolerance and comfort. The child will also learn to pace themselves and rest when needed. The child will not overexert themselves unless they are forced or pressured to do so.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not a correct statement, as treatment for atopic dermatitis includes keeping the skin moist, not dry. Dry skin can worsen the itching and inflammation of eczema. Moisturizers, emollients, and topical steroids can help hydrate and protect the skin¹.
Choice B reason: This is not a correct statement, as there is no cure for atopic dermatitis. It is a chronic condition that can flare up and subside over time. Treatment can help control the symptoms and prevent complications, but it cannot eliminate the disease¹.
Choice C reason: This is not a correct statement, as atopic dermatitis is not directly associated with upper respiratory tract infections. However, some infants with atopic dermatitis may also have asthma or allergic rhinitis, which can increase the risk of respiratory infections².
Choice D reason: This is the correct statement, as atopic dermatitis is associated with allergy with a hereditary tendency. It is a type of hypersensitivity reaction that involves the immune system and the skin barrier. It is more common in infants who have a family history of eczema, asthma, or hay fever¹².
Correct Answer is A
Explanation
Choice A reason: Abdominal pain that is most intense at McBurney point is a classic sign of acute appendicitis. McBurney point is located about two-thirds of the way from the navel to the right hip bone. It is the site of the base of the appendix, where the inflammation is most severe. The pain usually starts around the navel and then shifts to the lower right abdomen. The pain may worsen with movement, coughing, or pressure.
Choice B reason: Rebound tenderness is a symptom of peritonitis, which is a complication of acute appendicitis. Peritonitis is an inflammation of the lining of the abdominal cavity, which can occur if the appendix ruptures and spills its contents. Rebound tenderness is a sharp pain that occurs when the abdomen is quickly released after being gently pressed. It indicates irritation of the peritoneum, the membrane that covers the abdominal organs.
Choice C reason: Abdominal pain that is relieved by eating is not a typical feature of acute appendicitis. In fact, appendicitis may cause loss of appetite, nausea, and vomiting. Eating may worsen the pain by stimulating the digestive tract and increasing the pressure on the appendix.
Choice D reason: Bright red or dark red rectal bleeding is not a common manifestation of acute appendicitis. It may indicate other conditions, such as hemorrhoids, anal fissures, diverticulitis, ulcerative colitis, or colon cancer. Rectal bleeding may occur in some cases of appendicitis if the inflammation affects the cecum, the first part of the colon, but it is usually not bright or dark red.
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