A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?
Asking the mother to leave the room after obtaining the history.
Reviewing health promotion and maintenance activities.
Obtaining a comprehensive history, including sociodemographic data.
Focusing exclusively on the reported illness.
The Correct Answer is D
Choice A reason: This choice is incorrect. There is no need for the mother to leave the room unless the child requests privacy.
Choice B reason: This choice is incorrect. While reviewing health promotion is important, it should not be the focus during a sick visit.
Choice C reason: This choice is incorrect. A comprehensive history is not necessary if the child is regularly seen and was recently assessed.
Choice D reason: This is the correct choice. The nurse should focus on the current illness reported by the mother, as the child has been regularly seen and assessed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: An elevated white blood count (WBC) is not typically a side effect of chemotherapy; in fact, chemotherapy often leads to a decreased WBC count.
Choice B reason: This is the correct choice. Bone marrow suppression is a common side effect of chemotherapy, leading to a decreased production of blood cells and necessitating precautions to prevent infection.
Choice C reason: T-cell mediated hypersensitivity is not a common side effect of chemotherapy that would dictate the type of precautions needed.
Choice D reason: Stomatitis is a possible side effect of chemotherapy, but it does not primarily determine the type of precautions required as bone marrow suppression does.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. An 8-year-old is typically capable of understanding and using PCA effectively, especially after a major surgery like spinal fusion.
Choice B reason: A 6-year-old may not fully understand how to use PCA and could be at risk for under or overdosing.
Choice C reason: While a 10-year-old could use PCA, the presence of a concussion may impair their ability to use it properly.
Choice D reason: A 16-year-old with Down Syndrome may have cognitive impairments that could hinder the safe use of PCA.
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