A child with a head injury is demonstrating signs of cognitive ...

[ts19998]

A child with a head injury is demonstrating signs of cognitive deficits. The parents are concerned about how well the child will recover. Which nursing diagnosis should the nurse identify as the most appropriate for the family at this time?
 
  A) Anxiety related to extent of required hospitalization
  B) Risk for long-term learning deficits related to head injury
  C) Parental fear related to outcome after head injury in child
  D) Ineffective coping related to care of a child with a head injury

Question 2

A 2-year-old child is diagnosed with lead poisoning caused by eating paint chips from a windowsill. What measure should the nurse instruct the parents to prevent this from occurring in the future?
 
  A) Teaching their daughter that paint is not an edible substance
  B) Not allowing their daughter any milk products during daylight hours
  C) Covering the windowsills with paneling to prevent her from reaching them
  D) Administering ipecac syrup the next time they see her eat a paint chip

[yotaSR5]

Answer to Question 1

C
Feedback:
The parents are concerned if the child will recover. The most appropriate nursing diagnosis would be parental fear related to outcome after head injury. The parents are not demonstrating anxiety related to the hospitalization. Even though the child is demonstrating cognitive deficits at this time, this can change. The recovery from a head injury is unpredictable so deficits can resolve. The parents are not providing care to the child at this time, so there is no evidence of ineffective coping related to the care of a child with a head injury.

Answer to Question 2

C
Feedback:
Active interventions need to begin to prevent further lead exposure such as removal of the child from the environment containing the lead source or removal of the source of lead from the child's environment. Removal of the lead source is not an easy task in homes because simple repainting or wallpapering does not necessarily remove the source of peeling paint adequately. After some months, the new paint will begin to peel because of the defective paint underneath. The walls must therefore be covered by paneling or dry wall or other solid protective material. The child is 2 years old and will not understand that paint is not edible. Milk products will not prevent future episodes of lead poisoning. Syrup of ipecac will not help with the metabolism of lead from paint chips.

[ts19998]

Excellent

[Chelseyj.hasty]

Gracias!