Which of these manifestations, if identified in a school-aged ...

[kshipps]

Which of these manifestations, if identified in a school-aged child during a routine assessment, should a nurse associate with a possible developmental delay or problem?
 
  a. Withdrawn demeanor and verbalizes that he has no friends
  b. Absence of secondary sex characteristics
  c. Lack of peer relationships
  d. Curiosity about his or her sexuality

Question 2

The patient has a 15-cm laceration on his right forearm, and an infection develops. Which of the following is a sign of an acute inflammatory process?
 
  a. A blanching of the skin
  b. A decrease in temperature at the site
  c. A decrease in the number of white blood cells (WBCs)
  d. A release of histamine that adds to the pain response

[Jsherida]

Answer to Question 1

A
School-aged children should begin to develop friendships and to socialize with others. Interaction with peers allows them to define their own accomplishments in relation to others as they work to develop a positive self-image. The absence of secondary sex characteristics is a major concern of adolescents, not school-aged children, because physical evidence of maturity encourages the development of masculine and feminine behaviors in the adolescent. Lack of peer relationships is also a concern of adolescents, not of school-aged children, because adolescents seek a group identity to fulfill their esteem and acceptance needs. Today many researchers believe that school-aged children have a great deal of curiosity about their sexuality. Some experiment, but this play is usually transitory.

Answer to Question 2

D

Feedback
A The skin is not blanched; rather, with the increase in local blood flow, it is reddened.
B The symptom of localized warmth results from a greater volume of blood at the inflammatory site.
C The cellular response of acute inflammation involves WBCs arriving at the site, creating an increase in WBCs, not a decrease.
D A sign of an acute inflammatory process is pain. The swelling of inflamed tissues increases pressure on nerve endings, causing pain. Chemical substances such as histamine also stimulate nerve endings, adding to the pain response.

[kshipps]

TYSM

[bulacsom]

Excellent