A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, "Wait a minute" and "I'm not ready." The nurse should recognize this as which description?

Correct Answer: A

Rationale: This is normal behavior for a school-age child. School-age children often assert their independence and control in various situations, such as medical procedures. It is common for children in this age group to express hesitation or resistance when faced with something uncomfortable or unfamiliar, like starting an IV line. The child's behavior of saying "Wait a minute" and "I'm not ready" is a typical response for a 10-year-old girl and does not necessarily indicate manipulation, punishment perception, or behavior typical of younger children. In this case, the nurse should acknowledge the child's feelings, provide reassurance, and offer explanations to help her feel more comfortable and in control of the situation.

Correct Answer: D

Rationale: Weight loss in anorexia nervosa is commonly triggered by various factors, including traumatic interpersonal conflicts. These conflicts may involve strained relationships with family members, friends, or other individuals, contributing to emotional distress and disturbances in eating behaviors. Individuals with anorexia nervosa may engage in extreme restriction of food intake as a way to cope with and gain a sense of control over the challenging emotions arising from these conflicts. It is important to address and work through these underlying interpersonal issues through therapy and support in the treatment of anorexia nervosa.

Correct Answer: A

Rationale: Isotretinoin (Accutane) is a potent medication used for severe acne that has not responded to other treatments, such as topical medications or antibiotics. It is typically considered as a last resort due to its potential side effects and risks. Adolescents with resistant, severe acne who have not seen improvement with other therapies may be good candidates for isotretinoin treatment. It is important for the prescribing healthcare provider to carefully assess the severity of the acne and weigh the benefits against the potential risks before initiating isotretinoin therapy.

Correct Answer: C

Rationale: The child most likely lost 8 pounds due to a reduction of edema. Acute glomerulonephritis is a condition that can lead to significant fluid retention in the body, causing edema (swelling). When the child was hospitalized and received treatment, such as diuretics, to address the underlying cause of the edema, the excess fluid and weight would be lost. This reduction in edema is the most common reason for weight loss in this scenario, rather than poor appetite, increased potassium intake, or restriction to bed rest.

Correct Answer: A

Rationale: Apples, bananas, and strawberries are all suitable choices for a child with acute glomerulonephritis and oliguria. These fruits are high in water content and are not typically restricted in the diet of a child with this condition. It is important to provide hydration through food sources for a child experiencing oliguria. However, foods high in sodium, potassium, and protein (such as cheese) may need to be limited or modified based on the child's condition and the doctor's recommendations. Carrot sticks, although generally a healthy choice, may have high potassium content which could be restricted based on the child's individual dietary requirements.