Your pediatric patient is about to be discharged home. The child ...

[Shelles]

Your pediatric patient is about to be discharged home. The child will be taking prescription medications on a regular basis. The parent uses herbal supplements and wishes to administer these to the child.
 
  You explain to the parent that herbal supplements: a. Do not provide any benefit to the patient and are harmless
  b. Can cause serious interactions with some prescription medications
  c. Can be administered in excess of the recommended dosage
  d. Are ineffective and are only used by the uninformed

Question 2

A nurse working in the health clinic is performing the initial history for an adopted Chinese child who has recently immigrated to the United States.
 
  The nurse anticipates exploring which of the following priority questions with the child's parents? Select all that apply. a. Tell me about the child's immunization history.
  b. Has the child been exposed to any known communicable illnesses?
  c. Has the child's health care experience been positive in the past?
  d. Tell me about genetic illnesses in your family.

[amcvicar]

Answer to Question 1

B
Herbal supplements can provide benefit but should never be considered harmless. Herbals have been documented to cause significant and harmful side effects with prescription drugs. Exceeding dosage is not recommended. Herbal supplements have been proven effective for some ailments and may be used in cultural rituals that are meaningful to the client.

Answer to Question 2

A, B

Feedback
Correct Children who have recently moved to the United States from other countries may not be up-to-date with immunizations. Further, the history of the child's immunizations may be unknown when the child is adopted.
Exploring any known exposure to communicable illnesses can be valuable information when performing the initial history and physical.
Incorrect The knowledge of whether the health care experience has been positive would not be a priority question during the initial history.
Knowledge of genetic illnesses in the adoptive family are irrelevant, as the child's genetic background would not reflect similarities.