A parent calls the nurse and frantically reports that a child has ...

[gbarreiro]

A parent calls the nurse and frantically reports that a child has gotten into the mother's ferrous sulfate pills and ingested a number of these pills. The child is vomiting, has bloody diarrhea, and is complaining of abdominal pain.
 
  The nurse will tell the mother to: a. call the poison control center
  b. administer syrup of ipecac
  c. call emergency medical services (EMS) and get the child to the emergency room
  d. relax because these symptoms will pass and the child will be fine

Question 2

Until myelination of the spinal cord is completed, the child will:
 
  a. have some difficulty in walking
  b. have difficulty kicking a ball forward without losing balance
  c. experience transitory paresthesia of the legs
  d. have diminished feeling from the waist down

[asware1]

Answer to Question 1

C

Feedback
A Incorrect. Being told by a frantic parent that a child has ingested some ferrous sulfate pills and presently is vomiting, having bloody diarrhea, and is complaining of abdominal pain, the nurse will not tell the mother to call the poison control center.
B Incorrect. Being told by a frantic parent that a child has ingested some ferrous sulfate pills and presently is vomiting, having bloody diarrhea, and is complaining of abdominal pain, the nurse will not tell the mother to administer syrup of ipecac.
C Correct. Although oral iron supplementation is generally perceived as a safe treatment alternative, an overdose can be lethal for children. Initial signs and symptoms of overdose include vomiting, abdominal pain, and bloody diarrhea. These manifestations are typically followed by shock, lethargy, and dyspnea. Urgent treatment is essential.
D Incorrect. Being told by a frantic parent that a child has ingested some ferrous sulfate pills and presently is vomiting, having bloody diarrhea, and is complaining of abdominal pain, the nurse will not tell the mother to relax because these symptoms will pass and the child will be fine.

Answer to Question 2

A

Feedback
A Correct: The child is not able to walk well until myelinization of the spinal cord is completed.
B Incorrect: Kicking a ball forward without losing balance is related to increased bone length, muscle maturation, and increased muscle strength. This skill is not related to the complete myelination of the spinal cord.
C Incorrect: Until myelination of the spinal cord is completed, the child will not experience transitory paresthesia of the legs.
D Incorrect: Until myelination of the spinal cord is completed, the child will not have diminished feeling from the waist down.