The nurse is caring for a hospitalized three-year-old admitted ...

[mspears3]

The nurse is caring for a hospitalized three-year-old admitted with a history of syndrome of inappropriate antidiuretic hormone (SIADH). He has just received his breakfast tray. Which food should the nurse remove from his tray?
 
  1. Oatmeal
  2. Yogurt
  3. Biscuit
  4. Cantaloupe

Question 2

The teacher reports to the nurse that despite adequate intelligence, a child is not performing well in school. The nurse's initial assessments would include:
 
  1. Talking with the child to determine if there are family stressors, such as divorce, that are interfering with the child's performance.
  2. Conducting a vision and hearing screening.
  3. Determining if there is conflict between the child and the teacher.
  4. Observing the child in the classroom to see interactions between the child and others.

[Silverbeard98]

Answer to Question 1

4
Rationale 1: A child with SAIDH may have carbohydrates and fiber, such as in oatmeal.
Rationale 2: A child with SIADH may have dairy products, such as yogurt.
Rationale 3: A child with SIADH may have carbohydrates, such as in a biscuit.
Rationale 4: A child with SIADH is on a fluid restriction. Cantaloupe contains significant fluid volume, so it would not be a good food for this child to consume.
Global

Answer to Question 2

2
Rationale 1: Although this can be a contributor to poor school performance, this is not the initial assessment.
Rationale 2: Vision and hearing difficulties should be ruled out before other causes are investigated.
Rationale 3: This would not be the initial consideration but would be evaluated later if other causes could not be found.
Rationale 4: This can be beneficial in determining school issues but is not the initial assessment.
Global Rationale:

[mspears3]

Excellent

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TYSM