The pediatric nurse advises a parent how to best convey the circumstances surrounding the sudden death of an 18-month-old patient to a four-year-old sibling. The nurse anticipates that the sibling:

Correct Answer: A

Rationale: Young children often struggle with understanding death and may internalize feelings of guilt, believing they had a role in the event.

Correct Answer: A

Rationale: The appropriate nursing diagnosis for the toddler in this scenario would be "Risk for anxiety." The child is currently comfortable sitting on a parent's lap but may experience increased anxiety when the parents leave for a brief period. Since the parents' departure has not yet occurred and the child's reaction is uncertain, it is more appropriate to identify the potential risk of anxiety rather than stating the child is already experiencing anxiety. This diagnosis focuses on the potential for a negative emotion, providing an opportunity for nursing interventions to prevent or reduce anxiety in the child's upcoming situation.

Correct Answer: B

Rationale: These skills are typically developed by age 3.

Correct Answer: A

Rationale: If a clotted cannula is aggressively flushed, there is a risk that the clot may break apart and enter the circulation. This can lead to serious complications such as embolism, where the clot travels through the blood vessels and blocks blood flow to vital organs. It is important to handle clotted cannulas with care to prevent such complications from occurring.

Correct Answer: D

Rationale: Egocentric thinking is characteristic of preschool-age children.