A nurse is reinforcing teaching with a caregiver of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include?
Preschool children experience fear related to the disease process.
Preschool children understand death completely.
Preschool children have no concept of death.
Preschool children perceive death as temporary.
The Correct Answer is D
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.
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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.
Correct Answer is ["B","D","E"]
Explanation
A. Clear CSF: Clear CSF is typically seen in viral meningitis or normal findings, not bacterial meningitis.
B. Cloudy CSF: Cloudy CSF indicates the presence of infection and is characteristic of bacterial meningitis.
C. Negative gram stain: A negative gram stain indicates the absence of bacterial pathogens, which is not consistent with bacterial meningitis.
D. Decreased glucose content: Bacteria consume glucose, leading to decreased glucose levels in bacterial meningitis.
E. Positive gram stain: A positive gram stain confirms the presence of bacterial organisms in the CSF, supporting a diagnosis of bacterial meningitis.