Answer to Question 1
3
1. Visual acuity might be difficult to assess accurately at this age secondary to the child's compliance and ability to understand the directions for the screening test.
2. While teaching helmet use at an early age is important, it is unlikely that this child is riding a bicycle yet.
3. Elevated lead levels are neurotoxic to young children, and can cause irreparable neurological damage if untreated.
4. Although early exposure to fluoride is important for good dental health, lack of fluoridated drinking water will not be as harmful to the child as will toxic lead levels.
Answer to Question 2
3
Rationale 1: Nursing diagnoses are a responsibility of the nurse in an acute care unit.
Rationale 2: Listening to concerns is within the expectations of a nurse in an acute care unit.
Rationale 3: Advanced practice nurse practitioners perform assessment, diagnosis, and management of health conditions. The role of the pediatric nurse includes providing nursing assessment, direct nursing care interventions, client and family education at developmentally appropriate levels, client advocacy, case management, minimization of distress, and enhancement of coping.
Rationale 4: Providing information about support groups is within the expectations of the nurse in an acute care unit.
Global Rationale: