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 C
Explanation
Choice A rationale
Polydipsia, or excessive thirst, is often a physiological response to dehydration or a symptom of conditions like diabetes insipidus or diabetes mellitus, where the body attempts to excrete excess glucose or compensate for fluid loss through increased water intake. It is not a primary or characteristic symptom of acute glomerulonephritis, which typically involves fluid retention and decreased urine output.
Choice B rationale
Weight loss is generally indicative of a catabolic state, malabsorption, or chronic illness leading to decreased caloric intake or increased metabolic demand. Acute glomerulonephritis, conversely, is often associated with fluid retention due to impaired renal excretion, which can lead to weight gain rather than loss.
Choice C rationale
Hematuria, the presence of blood in the urine, is a hallmark clinical manifestation of acute glomerulonephritis. This occurs due to inflammation and damage to the glomerular capillaries, leading to increased permeability and the leakage of red blood cells into the urinary filtrate. Gross hematuria (visible blood) is common.
Choice D rationale
A sore throat, often caused by a bacterial infection like Group A streptococcus, is a common preceding event to acute glomerulonephritis. While it is an important part of the patient's history, the sore throat itself is the precipitating factor, not the direct sign of the kidney disease that prompts seeking medical care for the renal involvement.
Correct Answer is A
Explanation
Choice A rationale
Uterine muscle tone is the highest priority assessment postpartum, especially after a large infant delivery. A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage. The uterus must contract firmly to compress blood vessels and prevent excessive bleeding. Prompt intervention is crucial to prevent hypovolemic shock. Normal uterine tone is firm and midline.
Choice B rationale
Vulvo-perineal tissues and episiotomy assessment is important to identify hematomas or excessive swelling. While significant, these are typically less life-threatening in the immediate postpartum period compared to uterine atony. Hematomas can cause pain and pressure, and wound integrity is vital for infection prevention.
Choice C rationale
Body temperature assessment is important to detect fever, which could indicate infection. Postpartum infection is a concern, but hypovolemic shock from hemorrhage is a more immediate and critical threat to maternal well-being. Normal postpartum temperature is typically below 38°C (100.4°F).
Choice D rationale
Breast engorgement and nipple integrity are important for promoting successful breastfeeding and preventing complications like mastitis. However, these are not immediate life-threatening concerns in the initial hours after delivery. Early assessment focuses on maternal physiological stability.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.