The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the primary goal of the CLS?

Decrease anxiety and fear during hospitalization and painful procedure.

Keep children who are hospitalized distracted from pain.

Perform medical procedures using atraumatic principles.

Act as a liaison between the nurse and the child.

Answer and Explanation

The Correct Answer is A

A. Decrease anxiety and fear during hospitalization and painful procedure: The primary goal of a CLS is to help children and families cope with the stress, anxiety, and fear associated with hospitalization, illness, and medical procedures. They use play therapy, education, and emotional support to promote coping and a sense of control in the child.

B. Keep children who are hospitalized distracted from pain: While distraction is one of the techniques used by a CLS, their focus extends beyond distraction to fostering emotional well-being, understanding, and adaptation to the hospital environment.

C. Perform medical procedures using atraumatic principles: Performing medical procedures is not within the CLS’s scope of practice. They work alongside healthcare professionals to prepare children for procedures and minimize trauma, but the actual medical interventions are performed by nurses or physicians.

D. Act as a liaison between the nurse and the child: Although the CLS collaborates closely with nurses and other healthcare providers, their main function is not to serve as a communication link. Their role centers on psychosocial support and helping children understand and manage their healthcare experiences.

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Correct Answer is ["A","C","D"]

Explanation

A. Adnexal tenderness: This is a key diagnostic criterion for pelvic inflammatory disease (PID). Tenderness in the adnexal area (around the ovaries and fallopian tubes) indicates inflammation and infection of the upper reproductive organs, which is characteristic of PID.

B. Mucopurulent vaginal discharge: Although common in PID, mucopurulent discharge is considered a supportive rather than mandatory criterion. It helps confirm infection but is not required for diagnosis according to CDC guidelines.

C. Cervical motion tenderness: This is one of the classic “triad” signs of PID. Pain elicited when the cervix is moved during a bimanual exam suggests infection and inflammation in the pelvic structures, making it a mandatory diagnostic finding.

D. Lower abdominal tenderness: Lower abdominal or pelvic pain is another essential diagnostic feature. It reflects inflammation of the uterus, fallopian tubes, or ovaries and is one of the minimum criteria for diagnosing PID.

A. uterine prolapse B. enterocele C. cystocele D. rectocele

Correct Answer is C

Explanation

A. Uterine prolapse: Uterine prolapse occurs when the uterus descends into or outside the vaginal canal due to weakened pelvic support. It presents with a sensation of pelvic pressure or a visible bulge but does not involve the bladder wall protruding into the vagina.

B. Enterocele: An enterocele involves herniation of the small intestine and peritoneal sac into the vaginal wall, usually between the uterus and rectum. It typically occurs after hysterectomy and causes a feeling of pelvic pressure rather than a bladder protrusion.

C. Cystocele: A cystocele results from the weakening of the anterior vaginal wall, allowing the bladder to bulge into the vaginal canal. Symptoms include a dragging or pressure sensation in the vagina, urinary frequency, incontinence, and incomplete bladder emptying.

D. Rectocele: A rectocele occurs when the rectal wall protrudes into the posterior vaginal wall due to weakened pelvic muscles. It is usually associated with constipation, straining, and a sensation of rectal fullness, not anterior bladder wall bulging.

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The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the primary goal of the CLS?

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Naxlex Comprehensive Predictor Exams

A nurse is conducting an assessment of a client who is suspected of having pelvic inflammatory disease. Which finding would the nurse identify as mandatory for the diagnosis to be made? Select all that apply

Correct Answer is ["A","C","D"]

Explanation

Correct Answer is C

Explanation

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