The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?

Screening for abuse

Screening for congenital defects

Screening for infectious diseases

Screening for childhood illnesses

Answer and Explanation

The Correct Answer is C

A.   While screening for abuse is important in all children, it may not be the priority in this case without specific indications.
B.   Screening for congenital defects may be relevant but may not be the priority unless indicated by the child's medical history or initial assessment.
C.   Screening for infectious diseases is important, especially in internationally adopted children, to detect and manage any communicable diseases that may be prevalent in their country of origin.
D.   Screening for childhood illnesses is important but may not be the priority compared to screening for infectious diseases given the child's international adoption status.

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Correct Answer is A

Explanation

A. At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B. Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C. This more relevant for older babies or toddlers who can stand, walk, or climb.
D. Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.

A. Letting him choose juice or soda to take pills B. Seeking the teenager's input on all decisions C. Avoiding undue criticism of noncompliance D. Discussing the benefits of chemotherapy with him

Correct Answer is A

Explanation

A. This technique might be appropriate for younger children, but not for teenagers who want more autonomy and respect. Letting him choose juice or soda might make him feel like he is being treated like a child, and not as a partner in his own care.
B. Seeking the teenager's input on decisions promotes autonomy and empowerment, which can be effective in adolescent healthcare.
C. Avoiding undue criticism of noncompliance is important for maintaining a supportive and trustful nurse-patient relationship, especially with adolescents.
D. The nurse should also discuss the benefits of chemotherapy with him, such as how it can kill cancer cells, shrink tumors, and improve his chances of survival. The nurse should explain the rationale and goals of chemotherapy in a clear and honest way, and answer any questions or concerns the teenager might have. By doing so, the nurse can help him understand the importance of adhering to the treatment plan, and motivate him to cope with the challenges.

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The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?

Nursing Test Bank

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