For which children would the nurse conduct an immediate comprehensive health history?

A child who is brought to the emergency room with labored breathing

A child who is a new client in a pediatric office

A child who is a routine client and presents with signs of a sinus infection

A child whose condition is improving

Answer and Explanation

The Correct Answer is A

A. A child who is brought to the emergency room with labored breathing: Labored breathing can indicate a serious respiratory problem that requires immediate assessment and intervention.

Conducting a comprehensive health history is crucial to gather information about the child's medical history, current symptoms, and any potential underlying conditions that could be contributing to the breathing difficulty.

B. A child who is a new client in a pediatric officE. While it is important to obtain a comprehensive health history for new clients in a pediatric office, it may not require immediate attention unless the child presents with acute symptoms or concerns.

C. A child who is a routine client and presents with signs of a sinus infection: While a child presenting with signs of a sinus infection may require a comprehensive health history to guide treatment, it may not necessitate immediate attention unless the symptoms are severe or accompanied by complications.

D. A child whose condition is improving: If a child's condition is improving, conducting a comprehensive health history may not be immediately necessary unless there are lingering concerns or new symptoms that arise during follow-up visits.

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Correct Answer is D

Explanation

A. Ignore the temper tantrums. - Ignoring tantrums may work for some children, but it's not a universal solution and can sometimes escalate the behavior. It also doesn't teach the child appropriate ways to cope with their emotions.

B. Tell the child that temper tantrums are not acceptable. - While setting boundaries is important, simply telling the child that tantrums are unacceptable without providing alternative coping

mechanisms may not be effective, especially for a toddler who may not fully understand verbal reasoning.

C. Restrain the child physically. - Physically restraining the child can be harmful and is not recommended as a method for handling temper tantrums. It can lead to increased frustration and potentially cause injury to the child.

D. Distract the child by offering to play a game. - Distracting the child with a game or other engaging activity can help redirect their attention away from the tantrum and towards a more positive outlet for their emotions. This approach can be effective in diffusing the situation and teaching the child healthy coping strategies.

A. Genitourinary B. Hematologic C. Endocrine D. Neurologic

Correct Answer is C

Explanation

A. Genitourinary: This system pertains to the urinary tract and reproductive organs and is not directly related to increased appetite or thirst.

B. HematologiC. This system involves the blood and blood-forming organs such as the bone marrow, spleen, and lymph nodes. Increased appetite or thirst is not typically associated with hematologic issues.

C. EndocrinE. The endocrine system includes glands that secrete hormones, such as the pancreas, which regulates blood sugar levels. Increased appetite or thirst can be indicative of endocrine disorders like diabetes mellitus, where there may be abnormalities in insulin production or response.

D. NeurologiC. While the nervous system can indirectly influence appetite and thirst regulation, directly asking about increased appetite or thirst primarily pertains to the endocrine system's hormonal regulation

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For which children would the nurse conduct an immediate comprehensive health history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A parent of a toddler asks a nurse at a well-child visit how the child's frequent tempertantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

Correct Answer is D

Explanation

The nurse performing a health history on a child asks the parents if their child has experienced increased appetite or thirst. What body system is the nurse assessing with this question?

Correct Answer is C

Explanation

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