You are meeting a 6-year-old girl who is going to join a primary school. The parents states that their child has some antisocial problems and they have a concern regarding school phobia and attendance. Of the following, the statement about school phobia that should be included in your discussion is

Correct Answer: D

Rationale: Truancy is highly associated with young children with higher levels of fear, highlighting the need for addressing underlying anxieties.

Correct Answer: C

Rationale: Immunotherapy is not effective for anaphylaxis to a wasp sting, as it is an acute, life-threatening reaction requiring immediate epinephrine.

Correct Answer: D

Rationale: The major objective of therapy in cystic fibrosis (CF) is to promote the removal of secretions from the lungs. Chest physiotherapy, which involves postural drainage, vibration, and percussion, has been the mainstay of treatment for CF patients. This technique helps loosen and clear mucus from the airways, reducing the risk of lung infections and improving respiratory function. Aerobic exercise is also effective in clearing the airways and is an essential part of the treatment plan for CF patients. While prophylactic antibiotics may be used for early signs of infection, they are not the most effective treatment for CF. Nebulized bronchodilators do not provide long-term benefits for CF patients. Heart-lung transplant may be considered for some CF patients, but it is not a suitable option for most individuals due to various limitations and availability issues. Therefore, the most effective treatment for cystic fibrosis is

Correct Answer: A

Rationale: In this scenario, the patient developing a low-grade fever post-operatively along with diminished breath sounds could indicate the possibility of atelectasis or pneumonia. The most appropriate actions for the nurse to take to prevent complications in this situation would be to encourage coughing and deep breathing (to help clear secretions and improve lung expansion) and ambulate the patient as ordered (to promote lung ventilation and prevent further complications). Administering antibiotics, acetaminophen for fever management, and decreasing fluid intake may be considered based on the healthcare provider's assessment and orders, but the immediate nursing interventions to address the presenting symptoms are encouraging coughing and deep breathing and ambulating the patient.

Correct Answer: D

Rationale: A mid-diastolic rumble at the lower left sternal border is characteristic of a large atrial septal defect (ASD) due to increased flow across the tricuspid valve.