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A nurse is caring for a preschooler who is the hospital for sickle cell disease. Which of the following should the nurse identify as an expected behavior of a preschool-age-child?

A.

Describing manifestations of the illness.

B.

Relating fears to magical thinking

C.

Awareness of body function.

D.

Understanding cause of illness

Answer and Explanation

The Correct Answer is B

A. Describing manifestations of the illness: Preschoolers lack the cognitive ability to describe symptoms in detail.

 

B. Relating fears to magical thinking: Magical thinking is characteristic of preschoolers, and they may associate illness with punishment or fantastical causes.

 

C. Awareness of body function: This is more typical of school-age children, not preschoolers.

 

D. Understanding cause of illness: Preschoolers do not have the cognitive development to understand illness causation fully.


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Correct Answer is D

Explanation

A. CBC: A CBC can indicate infection (elevated white blood cell count), but it is not specific for meningitis.

B. Urinalysis: Urinalysis is not relevant for diagnosing meningitis.

C. CT scan: A CT scan can detect complications like increased intracranial pressure but does not diagnose meningitis directly.

D. Lumbar puncture: A lumbar puncture allows direct analysis of CSF for glucose, protein, white blood cells, and organisms, which is definitive for diagnosing meningitis.

Correct Answer is C

Explanation

A. Integumentary: Meningitis affects the central nervous system (CNS), not the skin, though a rash can sometimes appear with meningococcal meningitis.

B. Digestive: Digestive symptoms like nausea and vomiting may occur, but the primary system affected is the CNS.

C. Central Nervous: Meningitis is an inflammation of the meninges, which are protective coverings of the brain and spinal cord in the CNS.

D. Cardiopulmonary: Cardiopulmonary symptoms are not primary features of meningitis, though severe cases may affect vital systems indirectly.

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