Preschooler NCLEX Review

A mother states concern to the nurse that her 4-year-old often lies and tells exaggerated stories. What is the nurse's best response? A. "Acknowledge the lie by saying, 'That's a pretend story.'" B. "Let the child know that he or she will get in more trouble by lying." C. "Ask the child for a reason why the lying occurs." D. "Understand that the children lie because of their imagination and creativity."

A. "Acknowledge the lie by saying, 'That's a pretend story.'" It is most helpful to provide the mother with a concrete example for a situation; thus, providing specific direction acknowledging a pretend story is helpful. It is also important to acknowledge the child's imagination, while also letting him or her know in a nice way that what was said is not real. Punishment is not appropriate for a 4-year-old child using imagination. The child is not truly lying in the adult sense. Imagination and creativity need to be acknowledged.

The nurse is obtaining the history of a pediatric client, age 4. Which area usually takes longer to evaluate in a child than in an adult? A. Developmental status B. Family health status C. Review of physiologic systems D. Past health status

A. Developmental status Because children undergo rapid physiologic and psychological changes that affect growth and development, evaluating development usually takes longer in a child and involves more detail. Obtaining information about the child's achievement of specific developmental milestones is essential. Typically, the past health status, family health status, and review of physiologic systems take no longer to assess in a child than in an adult.

The nurse is caring for a preschooler with human immunodeficiency virus (HIV). The preschooler is being prepared to be discharged. What is the most important thing for the nurse to reinforce? A. lab studies and results B. infection control C. immunization schedules D. growth and developmental milestones

B. infection control Basic infection control practices must be maintained to prevent exposure through bodily fluids. Lab studies, growth and development, and immunization are all routine elements and are not as high priority as infection control.

A boy, age 4, begins to use foul language. Concerned about this behavior, his parents ask the nurse how to stop it. Which advice should the nurse offer? A. "Just ignore it. He'll grow out of it." B. "Tell him it isn't acceptable and he'll be disciplined if he continues to do it." C. "Tell him that good little boys don't use bad words." D. "Tell him that his behavior makes you angry."

B. "Tell him it isn't acceptable and he'll be disciplined if he continues to do it." By explaining their objections and expectations, the parents teach the child why the behavior is unacceptable and help him understand that he must stop it. Options 1 and 4 wouldn't teach the child that his behavior is inappropriate. Option 3 would reinforce the impression that the child is "bad," diminishing his self-image while doing little to change the objectionable behavior.

The nurse suspects that a child, age 4, is being neglected physically. To best collect data on the child's nutritional status, the nurse should ask the parents which question? A. "Do you think your child eats enough?" B. "What did your child eat for breakfast?" C. "Has your child always been so thin?" D. "Is your child a picky eater?"

B. "What did your child eat for breakfast?" The nurse should obtain objective information about the child's nutritional intake by asking, for example, about what the child ate for a specific meal. The other options ask for subjective replies that would be open to interpretation.

A 5-year-old arrives in the clinic for a physical to enter school. Which potential child abuse findings should be brought to the health care provider's attention? Select all that apply. A. The child has abrasions on the knee. B. Parental description of accident does not match injury. C. A patterned bruise is noted on the back. D. The child clings to favorite blanket. E. Injuries in various stages of healing are documented.

B. Parental description of accident does not match injury. C. A patterned bruise is noted on the back. E. Injuries in various stages of healing are documented. The nurse is a mandated reporter when suspicious of child abuse. The health care provider would be notified if a patterned bruise, such as a buckle or brush, is noted. Also, if the description of how the child sustained the injury does not match with the injury, this is documented. If the child has multiple injuries in various stages of healing, further inquiry would be completed. Abrasions on the knee and having a favorite security object are common in this stage of development.

Parents are concerned that their 3-year-old child has been exposed to erythema infectiosum (fifth disease). Which characteristic finding would the nurse explain to the parents they should monitor for? A. low-grade fever, followed by vesicular lesions of the trunk, face, and scalp B. intense redness of both cheeks that may spread to the extremities C. a 3- to 5-day history of sustained fever, followed by a diffuse erythematous maculopapular rash D. a fine, erythematous rash with a sandpaper-like texture

B. intense redness of both cheeks that may spread to the extremities The classic symptoms of erythema infectiosum begin with intense redness of both cheeks. An erythematous rash after a fever is characteristic of roseola. Children with varicella typically have vesicular lesions of the trunk, face, and scalp after a low-grade fever. An erythematous rash with a sandpaper-like texture is associated with scarlet fever, which is a bacterial infection.

When gathering data on a preschool-age child, the nurse finds multiple contusions over the body. Which statement indicates the findings that should be documented? A. Contusions confined to one body area are typically suspicious. B. The depth, location, and amount of bleeding that initially occurs is constant, but the sequence of color change is variable. C. All lesions, including location, shape, and color, should be documented. D. Natural injuries usually have straight linear lines, while injuries from abuse have multiple curved lines.

C. All lesions, including location, shape, and color, should be documented. An accurate, precise examination must be properly substantiated as a legal document. Contusions that result from falls are typically confined to a single body area and are considered a reasonable finding of a child still learning to walk. Injuries from normal falls are usually not linear in nature. Bleeding can cause variations, but color change is consistent.

A 4-year-old child has a tick embedded in the scalp. Which method should the nurse use to remove the tick? A. Grasp the tick with tweezers and quickly pull the tick out. B. Burn the tick at the skin surface. C. Grasp the tick with tweezers and apply slow, outward pressure. D. Surgically remove the tick.

C. Grasp the tick with tweezers and apply slow, outward pressure. Applying gentle outward pressure prevents injuring the skin and leaving parts of the tick in the skin. Surgical removal is indicated if portions of the tick remain in the skin. Burning the tick and quickly pulling the tick out may injure the skin and should be avoided.

A child, age 5, is brought to the pediatrician's office for a routine visit. When inspecting the child's mouth, the nurse expects to find how many teeth? A. Up to 15 B. Up to 10 C. Up to 20 D. Up to 32

C. Up to 20 A child may have up to 20 deciduous teeth by age 5. The first tooth usually erupts by age 6 months; the last, by age 30 months. Deciduous teeth usually are shed between ages 6 and 13.

A 3-year-old child with Down syndrome, admitted to the pediatric unit with asthma, does not enunciate words well and holds on to furniture when walking. What question would be appropriate for the nurse to ask the parent? A. "Is your child able to walk without holding on to furniture?" B. "How long has your child has been like this?" C. "Does your child always drool?" D. "How does your child's condition today differ from their normal condition?"

D. "How does your child's condition today differ from their normal condition?" The nurse should evaluate the condition of the 3-year-old child with Down syndrome and asthma by asking the parent to compare it to the child's normal behavior. Asking how long the child has been like this may be interpreted poorly by the caregiver. The nurse should focus on what the child can do—not on what he cannot do—to preserve the family's self-esteem. Focusing on negative aspects of the child's behavior is inappropriate.

Which nursing action should be included in the care plan to promote comfort in a 4-year-old child hospitalized with meningitis? A. Rock the child frequently. B. Avoid making noise when in the child's room. C. Keep the lights on brightly so that the child can see the parent. D. Let the child's 2-year-old sibling stay in the room.

B. Avoid making noise when in the child's room. Meningeal irritation may cause seizures and heightens a child's sensitivity to all stimuli, including noise, lights, movement, and touch. Frequent rocking, presence of a younger sibling, and bright lights would increase stimulation.

The nurse is caring for a 4-year-old child who is near death. Which statement by the family best indicates to the nurse that the family may be ready to consider organ donation? A. "I would do anything to have no other family go through this." B. "How long can the child live this way? It is so hard to watch." C. "We talked to the doctor about removing life support." D. "No one should have to watch their child die."

A. "I would do anything to have no other family go through this." The statement "I would do anything to have no other family have to go through this" indicates the parents' readiness to look past their own pain to help others. It is an indication that they are ready to discuss organ donation. Talking to the health care provider about removing life support may lead to a discussion about organ donation, but it does not indicate that the parents are ready for the discussion. Stating "No one should have to watch their child die" or "It is so hard to watch" is a method for the parents to verbalize their feelings versus an indication that they are ready to discuss organ donation.

The estranged parent of a preschool-age child comes to the hospital to visit the child. The child's medical record contains a restraining order that restricts the parent from visiting. When approached by the nurse, the parent becomes argumentative. What is the priority action by the nurse? A. Contact the unit manager. B. Contact the security department. C. Contact the health care provider. D. Contact the local police.

B. Contact the security department. The security department should be notified immediately about the visit of an argumentative parent of a child whose medical record contains a restraining order. Members of this department are specially trained to defuse such situations. If their efforts fail, they can immediately contact law enforcement officers, who can attempt to defuse the situation or remove the parent from the premises if necessary. The health care provider would not be able to help in this situation. The unit manager should be notified of the situation, but only after security has been contacted.

The parents of a 4-year-old child with sickle cell anemia tell a nurse that they would like to have more children but are concerned about passing sickle cell anemia on to them. When speaking with the registered nurse who is supervising the nurse, the nurse would expect that a referral is made to which health care team member? A. medical social worker B. medical geneticist C. perinatologist D. obstetrician

B. medical geneticist A medical geneticist can educate the parents who have a child with sickle cell anemia about the inherited disorder, screening tests, treatments, and can also provide emotional support. A medical social worker can provide emotional support and help with referrals for financial problems. A perinatologist provides specialty care to infants. An obstetrician cares for women during pregnancy and birth and may provide basic information but a medical geneticist would be able to provide more detailed evidence-based information.

The nurse is reinforcing anticipatory guidance on safety topics to a group of parents who have preschool-age children. When reinforcing education, what is appropriate to cover for the preschool level? Select all that apply. A. peer pressure B. water safety C. bike helmet use D. information on drugs and alcohol E. bathtub safety

B. water safety C. bike helmet use E. bathtub safety During the preschool years, clients are proud to be able to perform basic care and physical activities with supervision. Anticipatory guidance as they transition through the preschool years to school age includes bike helmet use, water safety, and bathtub safety. Peer pressure and information on drugs and alcohol will come in the school-age years as the client progresses to adolescence.

At a wellness visit, the parents report that their daughter, age 4, resists going to bed at night. After instruction by the nurse, which statement by the parents indicates effective teaching? A. "We'll let her fall asleep in our room, then move her to her own room." B. "We'll play running games with her before bedtime to tire her out, and then she'll fall asleep easily." C. "We'll lock her in her room if she gets up more than once." D. "We'll read her a story and let her play quietly in her bed until she falls asleep."

D. "We'll read her a story and let her play quietly in her bed until she falls asleep." Spending time with her parents and playing quietly are positive bedtime routines that provide security and prepare a child for sleep. The child should sleep in her own bed. Locking the door is frightening and may cause insecurity. Active play before bedtime stimulates a child and increases the time needed to settle down for sleep.

A 4-year-old child is seen in the pediatrician's office. The child is due for immunizations and the provider discusses with the caregiver the need for the immunizations. The nurse returns to the room to administer the immunizations and the caregiver refuses to sign the paperwork for the administration of the immunizations. What is the most appropriate action by the nurse? A. The nurse states the child must have vaccinations for preschool and injects the child without permission. B. The nurse asks the provider to return to discuss the risks of nonimmunization. C. The nurse documents the interaction and escorts the caregiver and child out of the office. D. The nurse listens to the caregiver's concerns and discusses the risks of nonimmunization.

D. The nurse listens to the caregiver's concerns and discusses the risks of nonimmunization. The nurse can document the interaction but does not need to escort the caregiver and child out of the office. The nurse should not state an opinion and inject the child without permission. The nurse is responsible for communication refusal, but asking the provider to return is not necessary as the caregiver has the right to refuse immunizations for the child.

A nurse is finishing a shift on the pediatric unit. Because the shift is ending, which intervention takes priority? A. completing input and output recording for the shift B. checking client pain levels for report to the next shift nurse C. checking to see that client orders have been transcribed D. documenting the care provided during the shift

D. documenting the care provided during the shift Documentation should take top priority as this is the only way the nurse can legally claim that client interventions were performed. Checking client pain levels should be done throughout the shift and clients should be medicated so that they are not in need during busy change of shift times. Waiting until the end of the shift to review that client orders have been transcribed may lead to a delay in treatment and should be completed in a timely manner throughout the shift. Completing input and output recording can be assigned to a nurse assistant and should be delegated.

A parent asks the nurse for advice on setting limits and disciplining a 4-year-old child. During the teaching session, which fact should the nurse emphasize? A. Parents should always use a "timeout" seat. B. Parents should set firm, consistent limits. C. Children younger than age 5 rarely need to be punished. D. Parents should enforce rules rigidly.

B. Parents should set firm, consistent limits. To deal with misbehavior most successfully, parents should set firm, consistent limits. Usually, parents should begin setting limits and implementing discipline around age 1, or when the child begins to crawl and explore the environment. Rigidly enforcing rules does not allow the development of autonomy and could lead to self-doubt. "Timeout" seats work well as a disciplinary measure but there may be times when it is not possible to utilize a "timeout" seat, for example, when shopping.

Encouraging children to engage in fantasy play and participate in their own care is a useful developmental approach for which pediatric age-group? A. Adolescence (10 to 19 years) B. Preschool age (3 to 5 years) C. School age (5 to 10 years) D. Toddler (1 to 3 years)

B. Preschool age (3 to 5 years)

A preschooler is returned to the pediatric department following surgery. Postoperative pain management orders include meperidine 25 mg I.M. every 6 hours. When administering this injection, which nursing action is best? A. State that the nurse will return in a few minutes to give the injection. B. Speak quietly and administer the injection while the child is groggy. C. Let the child choose which leg will receive the injection. D. Ask the child if the injection should be given now.

C. Let the child choose which leg will receive the injection. Preschoolers develop initiative and benefit from participating in their care, such as by choosing which leg will receive the injection. The nurse always should awaken a child before giving an injection; otherwise, the child may become afraid to fall asleep for fear that something traumatic may occur. The nurse should not give the child a choice where one does not exist; the injection will be given at the proper time regardless of when the child wants it. Young children have a limited concept of time; they cope best with injections and other threatening events if they receive a brief explanation and then undergo the event without delay. A delay between the explanation and event gives the child time to fantasize about what will happen, which may increase anxiety.

A previously toilet-trained 4-year-old child begins wetting the bed after being hospitalized. Which statement should a nurse make to the parents? A. "It is not uncommon for 4-year-olds to still have accidents." B. "Try not to worry. We can just cut back on fluids at night." C. "Your child must not have been fully potty trained." D. "It is normal for a child to start wetting the bed again when hospitalized."

D. "It is normal for a child to start wetting the bed again when hospitalized." Young children may exhibit regressive behaviors when they are under stress, such as occurs with hospitalization. Regressive behaviors can occur regardless of whether a child is fully toilet trained. Restricting fluids as the first step in a hospitalized child isn't appropriate; other causes of enuresis should be considered first. Telling the parents to not worry is not therapeutic.

During a clinic visit, the nurse notes that a 3-year-old preschooler, who measured 27 inches at the age of 2, now measures 29.5 inches. Based on the preschooler's measurement, how would the nurse proceed? A. Document the finding. B. Explain to the caregiver that the toddler is not growing fast enough. C. Notify the health care provider. D. Wait 5 minutes and measure the toddler again.

A. Document the finding. The preschooler grows 1½ to 2½ inches/year, so the nurse should document the finding. Because the preschooler's measurement is in the expected range, there is no need to notify the health care provider or wait 5 minutes and measure the client again. It is inappropriate to explain to the caregiver that the preschooler is not growing fast enough.

The nurse is performing a home safety assessment with the family of a preschooler. For which finding(s) will the nurse alert the caregivers of the potential risk of harm? Select all that apply. A. a water feature in the yard with fountain and fishpond B. patio table in a sunroom is covered with a cotton tablecloth C. bathroom doorknobs have squeeze-and-twist covers in place D. electrical outlets not in use have outlet covers installed E. second-story windows open to a height of 2 inches (5 cm)

A. a water feature in the yard with fountain and fishpond B. patio table in a sunroom is covered with a cotton tablecloth The nurse alerts the caregivers of a preschooler about safety risks related to drowning, poisoning, electrocution, and falls. Sources of water such as a fountain and fishpond should have barriers in place to prevent access or be drained if there is a risk the child could access this area unsupervised. Preventing access to the bathrooms in the house is recommended, and doorknob covers are one way to protect the preschooler from accidental drowning in tubs or toilets. Ensuring windows do not open more than 4 inches (10 cm) is recommended, so the 2-inch height is acceptable. Outlet covers are recommended, and it is also recommended to unplug electrical appliances when not in use. Tablecloths are a source of danger as the preschooler can pull potentially dangerous (e.g., hot, heavy, sharp) objects off the table accidentally.

A preschool-age child scheduled for surgery in the morning is admitted to the facility for the first time. Which nursing action would ease the child's anxiety? A. Beginning preoperative teaching as soon as possible B. Explaining preoperative and postoperative procedures step by step C. Having the child act out the surgical experience using dolls and medical equipment D. Explaining that the child will be "put to sleep" during the operation and will feel nothing

C. Having the child act out the surgical experience using dolls and medical equipment Having the child act out the surgical experience using dolls and medical equipment would ease anxiety and give the nurse an opportunity to clarify the child's misconceptions. Preschoolers have a limited concept of time, so the nurse should provide preoperative teaching just before surgery rather than starting it as soon as possible; also, a delay between teaching and surgery may heighten anxiety by giving the child a chance to worry or fantasize. The nurse should avoid using such phrases as "put to sleep" because these may have a dual or negative meaning to a young child. Long explanations are inappropriate for the preschooler's developmental level and may increase anxiety.

After receiving education about the treatment plan for acute lymphocytic leukemia (ALL) for a preschooler, the caregiver asks the nurse, "I saw a movie where a baby born to the parents was able to be a donor for stem cell transplant for the sibling with leukemia. Is that something we could do?" What is the nurse's best response? A. "The time it will take for you to have another baby coupled with the possibility that that child will not be a match makes this impractical." B. "As is often the case when medical treatments are represented in movies, this is not something that is really done in practice." C. "If this is something you are considering, I recommend you speak to the health care provider about a consult to a genetic counselor." D. "I saw that movie too. I thought it was unfair for the younger sibling to have to undergo all those invasive medical procedures."

C. "If this is something you are considering, I recommend you speak to the health care provider about a consult to a genetic counselor." The nurse recommends the caregivers speak with a genetic expert related to their question. "Savior siblings" are children conceived via in-vitro fertilization, and the embryos are chosen based on being a match as a donor for the existing child. A typical application for savior siblings is the use of cord blood for stem cell transplant. Therefore, this is a procedure done in medical practice (although it has ethical concerns), and using this process ensures the new child will be a match. The nurse does not respond by offering a personal opinion related to a movie plot. In the case of cord blood donation, the new sibling does not "undergo medical procedures."

When assisting in developing a plan of care for a hospitalized child, the nurse knows that children in which age-group are most likely to view illness as a punishment for misdeeds? A. school age B. adolescence C. preschool age D. infancy

C. preschool age Preschool-age children are most likely to view illness as a punishment for misdeeds. Separation anxiety, although seen in all age group, is most common in older infants. Fear of death is typical of older school-age children and adolescents. Adolescents also fear mutilation.

The nurse is calculating the dosage of a weight-based medication for a preschool-age client. What should the nurse do first? A. Determine the child's body surface area. B. Determine the child's age. C. Halve the typical adult dosage. D. Determine the child's weight in kilograms.

D. Determine the child's weight in kilograms. Pediatric medication dosages utilize a formula that involves the child's weight in kilograms, so the first thing that the nurse should do when calculating the medication dosage is to determine the child's weight in kilograms. Some dosages are determined using the child's body surface area, but this still requires knowing the child's weight. The child's age is not usually utilized in medication calculations. Pediatric dosages for some drugs may be calculated as a fixed ration of an adult dose, but merely halving the adult dose for any weight-based drug would be inappropriate and unsafe.

The nurse is caring for a 4-year-old with a full-thickness burn. Before sending the child to hydrotherapy for a scheduled wound debridement, which nursing action is a priority? A. Implement pain control measures B. Initiate antibiotics as prescribed C. Provide high-protein drinks D. Administer a fluid bolus of 500 ml

A. Implement pain control measures Because hydrotherapy is painful, the nurse should implement pain control measures before the treatment begins. Fluids and nutritional supplements can be given at any time and are not required specifically before hydrotherapy. Antibiotics should be administered according to a specified schedule without regard to treatment measures.

The nurse is providing care to a 5-year-old child with a fractured femur whose nursing diagnosis is Imbalanced nutrition: less than body requirements related to impaired physical mobility. Which of the following is most likely to occur with this condition? A. Increased carbohydrate need B. Decreased protein catabolism C. Increased digestive enzymes D. Increased calorie intake

A. Increased carbohydrate need Carbohydrate need increases because healing and repair of tissue requires more carbohydrates. Increased — not decreased — protein catabolism is present. Decreased appetite — not increased — is a problem. Digestive enzymes are decreased — not increased.

For a child with tracheobronchitis, the nurse formulates a nursing diagnosis of Ineffective airway clearance related to thick secretions. After implementing interventions, the nurse expects which client outcome? A. The child exhibits clear breath sounds. B. The child exhibits increased anxiety. C. The child exhibits a respiratory rate of 44 breaths/minute. D. The child exhibits an arterial oxygen saturation of 85%.

A. The child exhibits clear breath sounds. Clear breath sounds indicate an improved respiratory status and airway clearance. A respiratory rate of 44 breaths/minute is high and indicates a respiratory problem. An arterial oxygen saturation of 85% is abnormally low. Decreased, not increased, anxiety would indicate effective airway clearance.

When collecting data on a child's cultural background, the nurse should keep in mind that: A. physical characteristics mark the child as part of a particular culture. B. behavioral patterns are learned within a culture. C. heritage dictates cultural values. D. cultural background usually has little bearing on a family's health practices.

B. behavioral patterns are learned within a culture. A family's behavioral patterns and values are learned within a culture. Cultural background commonly plays a major role in determining a family's health practices. Physical characteristics don't indicate a child's culture. Although heritage plays a role in culture, it doesn't dictate cultural values, and its effect on culture is weaker than that of behavioral patterns.

For a child who's admitted to the emergency department with an acute asthma attack, nursing data collection is most likely to reveal: A. absent breath sounds. B. inspiratory stridor. C. expiratory wheezing. D. apneic periods.

C. expiratory wheezing. Expiratory wheezing is common during an acute asthma attack and results from narrowing of the airway caused by edema. Acute asthma rarely causes apneic periods. Inspiratory stridor more commonly accompanies croup. Acute asthma is more likely to cause adventitious breath sounds than absent breath sounds; however, adventitious sounds are an ominous sign because the client is unable to exchange air.

A preschool-age child refuses to take prescribed medication. Which nursing strategy would be most appropriate? A. Making the child feel ashamed for not cooperating B. Mixing the medication in milk so the child isn't aware that it's there C. Explaining the medication's effects in detail to ensure cooperation D. Showing trust in the child's ability to cooperate even with an unpleasant procedure

D. Showing trust in the child's ability to cooperate even with an unpleasant procedure To gain a preschooler's cooperation, the nurse should show trust and express faith in the child's ability to cooperate even with an unpleasant procedure. Hiding the medication in milk may foster mistrust. The nurse should provide simple, not detailed, explanations and should use terms the child can understand. Shaming the child is inappropriate and may lead to feelings of guilt.

The nurse is evaluating a child with acute poststreptococcal glomerulonephritis (APSGN) for signs of improvement. Which finding typically is the earliest sign of improvement? A. Increased appetite B. Increased energy level C. Decreased diarrhea D. Increased urine output

D. Increased urine output Increased urine output, a sign of improving kidney function, typically is the first sign that a child with APSGN is improving. Increased appetite, an increased energy level, and decreased diarrhea aren't specific to APSGN.

The nurse is caring for a 5-year-old child with a femur fracture. The parent explains that the fracture occurred from a fall. The child's recollection of the event conflicts with the parent's explanation. What is the nurse's immediate responsibility? A. Call the police department to report abuse. B. Question the parent about the discrepancy in stories. C. Restrict parental visitation until abuse is ruled out. D. Keep the child safe, and assess for abuse.

D. Keep the child safe, and assess for abuse. The assessment for risk is the priority nursing action. This would include verbalizing concerns to the most immediate supervisor and involving hospital social workers and the medical team. These initial steps need to be implemented, and then the appropriate authorities must be alerted. Questioning the parent about the discrepancy is not helpful, and there is no basis for restricting parental visitation at this time.

The mother of a preschooler with spina bifida tells the nurse that her daughter sneezes and gets a rash when playing with brightly colored balloons and that recently she had an allergic reaction after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to which of the following? A. Bananas B. Kiwifruit C. Color dyes D. Latex

D. Latex Children with spina bifida often develop an allergy to latex and shouldn't be exposed to it. If a child is sensitive to bananas, kiwifruit, and chestnuts, then she's likely to be allergic to latex. Some children are allergic to dyes in foods and other products but dyes aren't a factor in a latex allergy.

After collecting data on a newly admitted 5-year-old child, the nurse assists in making the nursing diagnosis of Parental role conflict related to child's hospitalization. Which defining characteristic would most suggest this diagnosis? A. Parents' active participation in child's physical or emotional care B. Supportive child-parent interaction (speaking, listening, touching, and eye-to-eye contact) C. Evidence of adaptation to parental role changes D. Parents' failure to use available support systems or agencies to assist in coping

D. Parents' failure to use available support systems or agencies to assist in coping A failure to use available support systems or agencies is one of the defining characteristics of this diagnosis. Supportive child-parent interaction, parents' active participation in the child's care, and evidence of adaptation to parental role changes don't suggest this diagnosis.