A 4-year-old child tells the nurse that she doesn't want another ...

[renzo156]

A 4-year-old child tells the nurse that she doesn't want another blood sample drawn because I need all of my insides and I don't want anyone taking them out. What is the nurse's best interpretation of this?
 
  a. The child is being overly dramatic.
  b. The child has a disturbed body image.
  c. Preschoolers have poorly defined body boundaries.
  d. Preschoolers normally have a good understanding of their bodies.

Question 2

The test that provides the most reliable evidence of recent streptococcal infection is which?
 
  a. Throat culture
  b. Mantoux test
  c. Antistreptolysin O test
  d. Elevation of liver enzymes

[scikid]

Answer to Question 1

ANS: C
Preschoolers have little understanding of body boundaries, which leads to fears of mutilation. The child is not capable of being dramatic at this age. She truly has fear. Body image is just developing in school-age children. Preschoolers do not have good understanding of their bodies.

Answer to Question 2

ANS: C
Antistreptolysin O (ASLO) titers measure the concentration of antibodies formed in the blood against this product. Normally, the titers begin to rise about 7 days after onset of the infection and reach maximum levels in 4 to 6 weeks. Therefore, a rising titer demonstrated by at least two ASLO tests is the most reliable evidence of recent streptococcal infection.

[renzo156]

Excellent

[Sarahjh]

Gracias!