Author Question: The nurse checking a pediatric patient into the clinic says to a nursing student, Wowdoes that kid ... (Read 34 times)

awywial · **on:** Jun 28, 2018

The nurse checking a pediatric patient into the clinic says to a nursing student, Wowdoes that kid have some allergic shiners Which interpretation by the student nurse is correct?

A.
Dark periorbital swelling from allergies
B.
Extra grooves in the lower eyelids
C.
Macerated eyelids from rubbing eyes
D.
Shiny, taut skin from response to histamine

Question 2

An 11-year-old child who has a history of asthma is brought to the family practice clinic by a parent who reports that the child has white plaque over the inside of the mouth and coating the tongue. Which question by the nurse would elicit the most useful

A.
Are you brushing your teeth and tongue regularly?
B.
Do you rinse your mouth after using your inhaler?
C.
Have you ever had something like this before?
D.
When was the last time you went to the dentist?

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

Answer to Question 1

ANS: A
An allergic shiner is a dark periorbital swelling noted in some children who have allergies. Extra grooves in the lower eyelid and skin problems due to rubbing itchy eyes are also possible symptoms of allergies.

Answer to Question 2

ANS: B
Use of inhalers for asthma, especially corticosteroids, can cause yeast infection (candidiasis) if the patient does not rinse the mouth afterward. The other questions are not helpful in this situation.