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
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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Related Questions
Correct Answer is B
Explanation
A. "Can you stand very still while I feel how warm you are?": Toddlers may have difficulty understanding abstract requests or instructions. Asking a toddler to stand still to feel warmth may not effectively communicate the purpose of the assessment and may lead to confusion or
resistance.
B. "I am going to listen to your heart.": This statement provides clear, simple language that the toddler can understand. It prepares the child for the assessment and helps establish trust and cooperation.
C. "Can I listen to your lungs?": While this statement is appropriate for assessing respiratory sounds, it may not be as clear or specific as stating the intention to listen to the heart. Toddlers may not understand the term "lungs" as readily as "heart."
D. "I am going to take your blood pressure now.": This statement may cause anxiety or fear in the toddler, especially if they are unfamiliar with the procedure. It is important to prepare the child for each aspect of the assessment in a developmentally appropriate manner.
Correct Answer is B
Explanation
A. Crayons and a coloring book: While coloring activities can be enjoyable and stimulating for toddlers, they may not be suitable for a hospitalized toddler in a confined room with contact precautions. Additionally, crayons and coloring materials may pose infection control risks.
B. Hanging crib toys: Hanging crib toys, such as mobiles or activity centers that attach to the crib, are suitable for stimulating visual and motor development in infants. They can provide entertainment and sensory stimulation for a hospitalized toddler in a confined room.
C. Large building blocks: Large building blocks are more suitable for older toddlers who have developed fine motor skills and coordination. They may not be appropriate for a 12-month-old toddler who is just beginning to explore objects and manipulate toys.
D. Modeling clay: Modeling clay presents a choking hazard and may not be suitable for a toddler who is still in the oral exploration stage. It is important to select toys that are age-appropriate and safe for a hospitalized toddler's developmental stage.
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