Author Question: The nurse is conducting a general survey on an infant for a health maintenance visit. During the ... (Read 119 times)

acc299 · **on:** Jun 25, 2018

The nurse is conducting a general survey on an infant for a health maintenance visit. During the survey, the infant has a liquid stool.

The mother becomes very angry and asks the nurse to change the diaper because she just can't deal with the odor. Why is this mother's statement important to the nurse?
1. The child may have an illness that is causing diarrhea.
2. It may be a reflection of the mother-child relationship.
3. The mother may be feeding the child a poor diet.
4. The child may have an illness that is increasing the odor of stool.

Question 2

A client presents to the primary care clinic and is disheveled in appearance, with stained, dirty clothing, body odor, and uncombed hair. Based on this observation, which topics should the nurse assess during the history and physical exam?

Select all that apply.
1. Occupation.
2. Depression.
3. Smoking history.
4. Self-concept.
5. Immunization status.

kingfahad97 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

Observation of the interaction between the child and mother can provide information suggestive of child abuse. The mother's demonstration of disgust with any aspect of child's behavior or such things as odor or stool can be clues that there may be a problem with the relationship and should be evaluated further. The loose stool may be a sign of illness; however, there is not enough information to determine if the child is ill; may be the result of the child's diet; or may be a sign of illness; however, there is not enough information to determine if the child is ill, and the mother's response is inappropriate

Answer to Question 2

Correct Answer: 1, 2, 4

The way a client dresses and maintains physical hygiene may provide clues to a variety of things, such as what the client does for a living (perhaps the client has a physical job and has just come from work), the client's sense of self-esteem and body image, as well as be an indicator of mental illness, anxiety, or depression. The client's disheveled appearance does not directly clue the nurse to explore the client's smoking history. Clues that would lead the nurse to fully explore the client's smoking history would include the smell of smoke on the client, the discoloration of the fingers from tobacco, hoarseness of the voice, and/or a cough. The observations made by the nurse do not clue the nurse to assess the client's immunization status.