A 5-year-old child enjoys normal play and activities appropriate ...

[Frost2351]

A 5-year-old child enjoys normal play and activities appropriate for his age. His parents are concerned about keeping their child safe and in promoting normal growth and development. The parents should be instructed to:
 
  a. Provide the child with detailed direction for play
  b. Continually remind the child to be careful
  c. Provide constant admonition for failures
  d. Allow the child to learn to complete tasks on his own.

Question 2

The nurse assesses a child and finds the child to have hypotonic muscles, decreased respirations, and to be irritable. Looking at the lab work, the nurse will likely find:
 
  a. hypernatremia and hypochloremia c. hypocalcemia and hypernatremia
  b. hypercalcemia and hyperchloremia d. hyponatremia and hypochloremia

[bigcheese9]

Answer to Question 1

D
Children need to be allowed to develop their imaginations. Overdirection of play can also leave the child feeling insecure. The child should be reminded of the rules, but should not be continually told to be careful. The child should be allowed to complete tasks on his own.

Answer to Question 2

D

Feedback
A Incorrect: Looking at the lab work, the nurse will not likely find hypernatremia and hypochloremia. The child's symptoms occur with hypochloremia; therefore, this should be accompanied by hyponatremia.
B Incorrect: Looking at the lab work, the nurse will not likely find hypercalcemia and hyperchloremia. Hypercalcemia and hypochloremia (not hyperchloremia) are manifested by muscle hypotonicity, bradycardia, and weakness and fatigue.
C Incorrect: Looking at the lab work, the nurse will not likely find hypocalcemia and hypernatremia. Hypocalcemia is manifested by neuromuscular irritability, tetany, and laryngospasm. Hypernatremia is characterized by intense thirst, elevated temperature, and dry, sticky mucous membranes.
D Correct: The nurse assesses a child and finds the child to have hypotonic muscles, decreased respirations, and to be irritable. Looking at the lab work, the nurse will likely find hyponatremia and hypochloremia. A child with a decreased chloride level will exhibit these symptoms. Chloride levels usually parallel sodium levels, meaning if the sodium level is decreasing, chloride levels will decrease and vice versa.