Author Question: A school-age child has been seen in the pediatric clinic three times in the last two months for ... (Read 39 times)

go.lag · **on:** Jun 28, 2018

A school-age child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. Physical exam and all ordered lab work have been normal.

Which question by the nurse would most likely help determine the etiology of the child's abdominal pain?
1. Have there been any changes in your child's school or home life recently?
2. How many meals does your child eat each day?
3. Are your child's immunizations up to date?
4. Has your child had any fevers or viral illnesses in the last three months?

Question 2

A high school student calls to ask the nurse for advice on how to care for a new navel piercing. Which response by the nurse is the most appropriate?

1. Apply warm soaks to the area for the first two days to minimize swelling.
2. Do not move or turn the jewelry for the first three days.
3. Avoid contact with another person's bodily fluids until the area is well healed.
4. Apply lotion to the area, rubbing gently, to prevent skin from becoming dry and irritated.

briezy · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: With a normal exam and lab work there is a high probability that this child's abdominal pain is stress related, and it is most important to identify the possible stressors in this child's life to aid in diagnosis and treatment. The other questions are also important to ask but are not as relevant to this child's symptoms as Have there been any changes in your child's school or home life recently?

Answer to Question 2

Correct Answer: 3
Rationale: Until the piercing has healed, it is a nonintact area of skin that has potential for infection, especially from contact with bodily fluids from someone else. Ice, not warm soaks, should be applied to the area for the first two days to minimize the swelling. The jewelry needs to be gently rotated several times per day to aid with healing. Lotion can provide a medium for bacteria, and rubbing at the site can cause irritation to the area.