The practical nurse (PN) is caring for a toddler who is hospitalized for pneumonia.
Which stressor is most significant during hospitalization for this age group?
Change in food selections and preparation.
Fear of the unknown and painful procedures.
Unfamiliar people and strange equipment.
Separation from parents and home.
The Correct Answer is D
Choice A rationale
Changes in food selections and preparation can be a minor stressor for hospitalized toddlers, as familiar routines are disrupted. However, while dietary changes might cause some fussiness, they typically do not elicit the profound emotional distress and regression seen with more significant stressors like separation from primary caregivers.
Choice B rationale
Fear of the unknown and painful procedures is certainly a stressor for toddlers. The lack of understanding about medical interventions and the potential for discomfort can cause anxiety. However, for a toddler, the underlying fear of being abandoned by their primary attachment figures often outweighs the fear of the procedures themselves.
Choice C rationale
Unfamiliar people and strange equipment can contribute to a toddler's stress during hospitalization, as they are outside of their usual environment and routine. This can lead to feelings of insecurity and apprehension. However, the emotional impact of these elements is generally less profound than the distress caused by the absence of parents.
Choice D rationale
Separation from parents and home is the most significant stressor for hospitalized toddlers. At this developmental stage, toddlers are deeply reliant on their primary caregivers for security and comfort. Separation can trigger profound feelings of abandonment, anxiety, and lead to regression in developmental milestones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Cheese is a good source of calcium and protein, but it is not a primary source of iron. Iron is essential for hemoglobin synthesis, and the client's hemoglobin and hematocrit levels are below normal ranges [Hemoglobin, pregnant female > 11 g/dL ( > 110 g/L); Hematocrit, pregnant female > 33% ( > 0.33 volume fraction)], indicating iron deficiency anemia.
Choice B rationale
Cauliflower is a cruciferous vegetable rich in vitamin C and fiber, but its iron content is relatively low. While vitamin C aids in iron absorption, cauliflower itself does not provide a significant amount of dietary iron to effectively address the client's anemic status.
Choice C rationale
Carrots are well-known for their beta-carotene content, a precursor to vitamin A, and provide fiber. However, carrots are not a significant source of iron. To combat iron deficiency anemia during pregnancy, foods rich in heme iron or non-heme iron with good bioavailability are required.
Choice D rationale
Chicken, particularly the dark meat, is a good source of heme iron, which is more readily absorbed by the body compared to non-heme iron found in plant-based foods. Given the client's anemic status, increasing dietary intake of iron-rich foods like chicken is crucial for improving hemoglobin and hematocrit levels.
Correct Answer is C
Explanation
Choice A rationale
The Varicella vaccine (chickenpox) is typically recommended for administration to children at 12 to 15 months of age, not at 2 months. Administering it earlier would not provide optimal immune response due to the presence of maternal antibodies, which can interfere with vaccine efficacy, rendering the immunization less effective at stimulating active immunity in the infant.
Choice B rationale
Hepatitis A vaccine is generally recommended for children starting at 12 months of age, with a second dose 6 to 18 months after the first. It is not typically administered to 2-month-old infants. The immunization schedule is designed to optimize the infant's immune system response to the vaccine at specific developmental stages, ensuring effective long-term protection.
Choice C rationale
The Hepatitis B vaccine is routinely administered at birth, followed by doses at 1 to 2 months and 6 to 18 months of age. Therefore, a 2-month-old infant is due for their second dose of the Hepatitis B vaccine as part of the standard childhood immunization schedule. This multi-dose regimen ensures robust and sustained immunity against the hepatitis B virus.
Choice D rationale
The Measles, Mumps, Rubella (MMR) vaccine #1 is typically administered to children at 12 to 15 months of age. Administering it at 2 months would not be appropriate. The timing is crucial for maximizing the immune response and minimizing potential interference from maternal antibodies, which are still present in significant levels at 2 months and can reduce vaccine effectiveness. .
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