Author Question: During a routine pediatric history and physical, the parents report that their child was a very ... (Read 28 times)

jazziefee · **on:** Jul 22, 2018

During a routine pediatric history and physical, the parents report that their child was a very small, premature infant that had to stay in the neonatal intensive care unit longer than usual.

They state that the infant was yellow when born and developed an infection that required every antibiotic under the sun to reach a cure. Which exam is a priority for the nurse to conduct on the child?
a. Cardiac
b. Respiratory
c. Ophthalmic
d. Hearing acuity

Question 2

A nurse is preparing to perform a complete physical examination on a weak, older-adult patient with bilateral basilar pneumonia. Which position will the nurse use?

a. Prone
b. Sims'
c. Supine
d. Lateral recumbent

lucas dlamini · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
Hearing is the priority. Risk factors for hearing problems include low birth weight, nonbacterial intrauterine infection, and excessively high bilirubin levels. Hearing loss due to ototoxicity (injury to auditory nerves) can result from high maintenance doses of antibiotics. Cardiac, respiratory, and eye examinations are important assessments but are not relevant to this child's condition.

Answer to Question 2

ANS: C
Supine is the most normally relaxed position. If the patient becomes short of breath easily, raise the head of the bed. Supine position would be easiest for a weak, older-adult person during the examination. Lateral recumbent and prone positions cause respiratory difficulty for any patient with respiratory difficulties. Sims' position is used for assessment of the rectum and the vagina.