Author Question: Following parental teaching, the nurse is evaluating the parent's understanding of environmental ... (Read 279 times)

anjilletteb

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Following parental teaching, the nurse is evaluating the parent's understanding of environmental control for their child's asthma management. Teaching has been understood by the parents if they state:
 
  1. We will replace the carpet in our child's bedroom with tile.
   2. We're glad the dog can continue to sleep in our child's room.
   3. We'll be sure to use the fireplace often to keep the house warm in the winter.
   4. We'll keep the plants in our child's room dusted.

Question 2

The child has been admitted to the hospital unit newly diagnosed with retinoblastoma. What would the nurse expect to see when examining the child's eye?
 
  1. A white reflex
  2. Blue-tinged sclera
  3. A red reflex
  4. Yellow sclera



steff9894

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Answer to Question 1

1
Rationale:
1. Control of dust in the child's bedroom is an important aspect of environmental control for asthma management.
2. When possible, pets and plants should not be kept in the home.
3. Smoke from fireplaces should be eliminated.
4. When possible, pets and plants should not be kept in the home.
Evaluation
Health Promotion and Maintenance
Analysis
Learning Outcome 25.6 Synthesize information and develop a home nursing care plan in partnership with the family for the child with a chronic respiratory condition.

Answer to Question 2

1
Rationale 1: The first sign of retinoblastoma is a white pupil. The red reflex is absent. This is known as leukocoria, or cat's eye reflex.
Rationale 2: Blue-tinged sclera is a sign of osteogenesis imperfecta, not retinoblastoma.
Rationale 3: Red reflex is absent in retinoblastoma.
Rationale 4: Yellow sclera is a sign of jaundice, not retinoblastoma.
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