Which playroom activities should the nurse organize for a small group of 7-year-old hospitalized children?

Correct Answer: A

Rationale: In the context of community health nursing, organizing playroom activities for hospitalized children is crucial for their physical, emotional, and social well-being. The correct answer, option A, sports and games with rules, is the most appropriate choice for a small group of 7-year-old hospitalized children. Engaging in sports and games with rules not only promotes physical activity and coordination but also helps children learn important social skills such as teamwork, following rules, and sportsmanship. Option B, finger paints and water play, may be messy and require more supervision in a hospital setting. While sensory activities are beneficial for children's development, they may not be the most suitable choice for a small group of hospitalized children. Option C, "dress-up" clothes and props, encourages imaginative play, but it may not be as engaging for a small group of children and may not promote physical activity or social interaction as effectively as sports and games. Option D, chess and television programs, may not be developmentally appropriate or engaging for most 7-year-old children. Chess may be too complex for some children, and excessive television viewing is not recommended for hospitalized children as it may limit their physical activity and social interaction. By choosing sports and games with rules, the nurse can create a fun and interactive environment that promotes physical activity, socialization, and the development of important skills, making it the most suitable option for a small group of 7-year-old hospitalized children in a community health nursing context.

Correct Answer: A

Rationale: Administering analgesics on a fixed schedule is the most appropriate pain management strategy for a client with terminal cancer experiencing severe pain. This approach ensures consistent pain control and helps prevent breakthrough pain. Administering analgesics only when the client requests (Choice B) may lead to uncontrolled pain as the client may delay requesting medication until the pain becomes unbearable. Using non-pharmacological methods only (Choice C) may not provide adequate pain relief for a client experiencing severe pain. Increasing the dose of analgesics when the client complains of pain (Choice D) may result in inconsistent pain control and could lead to potential overdose or adverse effects.

Correct Answer: C

Rationale: The correct answer is C: Hyperglycemia. Total parenteral nutrition (TPN) contains a high glucose content, which can lead to elevated blood sugar levels, resulting in hyperglycemia. Monitoring for hyperglycemia is crucial in clients receiving TPN to prevent complications such as osmotic diuresis, dehydration, and electrolyte imbalances. Choices A, B, and D are incorrect because TPN is more likely to cause hyperglycemia rather than hypoglycemia, hyperkalemia, or hyponatremia.

Correct Answer: A

Rationale: The correct answer is A: Hypertension. Erythropoietin can lead to hypertension as a side effect due to its stimulation of red blood cell production, which can increase blood viscosity. This can result in elevated blood pressure. Choices B, C, and D are incorrect. Hypoglycemia is not a common side effect of erythropoietin. Hyperkalemia is more commonly associated with renal failure rather than erythropoietin use. Hypocalcemia is not a typical side effect of erythropoietin administration.

Correct Answer: C

Rationale: The correct answer is C: Bradycardia. Digoxin toxicity often presents with bradycardia, which is a common sign of toxicity associated with this medication. Tachycardia (Choice A) is not typically seen with digoxin toxicity. Hypotension (Choice B) can occur but is less specific to digoxin toxicity. Hyperglycemia (Choice D) is not a typical sign of digoxin toxicity. Therefore, monitoring for bradycardia is crucial in clients receiving digoxin to detect toxicity early.