A nurse is reinforcing teaching with a 4-year-old child who is on airborne precautions about activities he can do while in the hospital. Which of the following activities should the nurse include in the teaching?
Pulling a wagon with toys in the hallway
Watching a video game in the playroom
Constructing a model airplane
Putting a puzzle together
The Correct Answer is D
A. Pulling a wagon with toys in the hallway: A child on airborne precautions cannot leave the room to prevent the spread of infection.
B. Watching a video game in the playroom: Access to communal areas like the playroom is prohibited for children on airborne precautions.
C. Constructing a model airplane: While constructive, small parts in models can be hazardous and inappropriate for some children in a hospital setting.
D. Putting a puzzle together: Puzzles are a safe, quiet activity that can be done independently in the isolation room.
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Correct Answer is C
Explanation
A. Cough: A cough is more commonly associated with respiratory infections, not meningitis.
B. Joint pain: Joint pain is not a primary symptom of meningitis but may occur in other conditions.
C. Fever: Fever is a hallmark symptom of meningitis, reflecting the body’s immune response to infection.
D. Abdominal pain: Abdominal pain is not typically associated with meningitis.
Correct Answer is D
Explanation
A. Preschool children experience fear related to the disease process. While preschool children may fear pain or separation, this statement does not directly address their perception of death.
B. Preschool children understand death completely. Preschool children do not fully understand the permanence of death; this comprehension develops later.
C. Preschool children have no concept of death. Preschoolers have some concept of death but often see it as temporary or reversible.
D. Preschool children perceive death as temporary. Preschool-aged children often view death as temporary, like sleeping, due to their limited understanding of its finality.