Which observation is the priority to consider when planning care for a 7-year-old hospitalized client? This client:.
is intolerant of strangers.
is becoming increasingly modest.
may have imaginary companions.
prefers that others make decisions.
The Correct Answer is A
Choice A rationale:
Priority consideration should be given to the child's intolerance of strangers, as it directly impacts the child's safety and comfort in the hospital environment.
Choice B rationale:
Increasing modesty is a normal developmental aspect, but it doesn't take precedence over safety concerns or the immediate hospital care needs.
Choice C rationale:
Having imaginary companions is a common behavior in children and is not an immediate priority in planning care.
Choice D rationale:
While the child's preference for others making decisions might be a consideration, it is not as urgent as addressing the child's intolerance of strangers, which can affect the child's emotional well-being and cooperation during hospitalization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Allowing a pacifier is appropriate and unrelated to the procedure.
Choice B rationale:
Feeding before the procedure helps prevent dehydration and maintains the infant's well-being.
Choice C rationale:
Bathing immediately after the procedure can introduce infection risk through the catheterization site. Waiting a day is advisable.
Choice D rationale:
Counting wet diapers helps monitor hydration post-procedure; it's a valid concern. In each case, the correct choices were determined by logical reasoning and adherence to medical guidelines. It's important for healthcare providers to educate patients and caregivers to ensure the best outcomes for patients' health and well-being.
Correct Answer is B
Explanation
Choice A rationale:
Pedal edema is not indicative of digoxin toxicity. Digoxin toxicity primarily affects the heart's electrical activity and rhythm, not fluid accumulation in the extremities.
Choice B rationale:
Cardiac arrhythmias are a hallmark sign of digoxin toxicity. Digoxin can lead to various types of arrhythmias, such as atrial tachycardia, atrial fibrillation, and ventricular ectopy. This occurs due to the drug's effects on altering the electrical conduction in the heart.
Choice C rationale:
Circumoral cyanosis is not a typical sign of digoxin toxicity. This symptom might be seen in conditions like methemoglobinemia or respiratory distress, but it's not directly related to digoxin toxicity.
Choice D rationale:
Infrequent voiding is not a specific sign of digoxin toxicity. It could be related to various factors, such as fluid intake, renal function, or underlying medical conditions, but it's not a hallmark of digoxin toxicity.
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