An adolescent patient with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations, confides, 'I wish I could stay here in the hospital because every time I go home, I get sick again!' What is the pediatric nurse's best response?

Correct Answer: A

Rationale: Discussing strategies to manage asthma at home empowers the patient and addresses the root cause of recurrent exacerbations.

Correct Answer: D

Rationale: Vitamin D is essential for the absorption of calcium in the body. Without sufficient vitamin D, the absorption of calcium from the diet is impaired, leading to potential issues with calcium deficiency. Vitamin A, B, and C do not have a direct role in the absorption of calcium. Vitamin D helps regulate the amount of calcium and phosphate in the body, which are necessary for bone health, muscle function, and other important processes. Therefore, a lack of Vitamin D can contribute to weakened bones and potential health problems related to calcium deficiency.

Correct Answer: C

Rationale: When a client undergoes treatment for a malignant tumor requiring a urinary diversion procedure, such as a urostomy, it is crucial for nurses to closely monitor for any signs of leakage of urine or stool from the anastomosis site. This is important because it can indicate complications such as infection, poor wound healing, or a breakdown in the surgical site. Detecting and addressing leakage promptly can help prevent further complications and ensure the client's recovery progresses smoothly. While the other options may be important aspects of nursing care, observing for leakage of urine or stool from the anastomosis is the most critical factor in managing clients undergoing treatment for a malignant tumor affecting the urinary system.

Correct Answer: B

Rationale: Autism screening is recommended between 18 and 24 months.

Correct Answer: B

Rationale: When assessing a patient like Will for possible intussusception, the least likely to provide valuable information would be the family history. While family history can help identify potential genetic predispositions or conditions that may contribute to a patient's current health concerns, in this case, the focus is on Will's immediate symptoms and diagnostic indicators related to possible intussusception. Abdominal palpation, pain pattern assessment, and stool inspection are more directly relevant to evaluating Will's current condition and determining the likelihood of intussusception. Family history, while important in a broader health context, would be least likely to provide immediate insights into Will's specific situation with intussusception.