Author Question: The teacher is speaking to the school nurse about one of the girls in the fifth grade. The girl has ... (Read 255 times)

michelleunicorn · **on:** Jun 28, 2018

The teacher is speaking to the school nurse about one of the girls in the fifth grade. The girl has always been a good student but lately seems to be daydreaming a lot.

The teacher says, Sometimes when I ask her a question, she will just stare at me for 15 seconds, then blink and ask me to repeat the question. What do you think is going on with her? Based on this data, the nurse will suspect: 1. The girl has a crush on a boy in the class.
2. The girl has increased intracranial pressure.
3. The child may have had a head injury.
4. The girl is experiencing absence seizures.

Question 2

A child has been diagnosed with a Wilms' tumor; preoperative nursing care would involve:

1. Careful bathing and handling.
2. Monitoring of behavioral status.
3. Maintenance of strict isolation.
4. Administration of packed red blood cells.

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

Answer to Question 1

4
Rationale 1: There is no data to suspect a childhood crush is creating the situation.
Rationale 2: There is no indication of increased intracranial pressure.
Rationale 3: There is no indication of a head injury.
Rationale 4: Absence seizures may cause staring and blinking; they are more common in girls in this age group and often are first noticed by the classroom teacher.
Global

Answer to Question 2

1
Rationale:
1. Careful bathing and handling are an important nursing consideration to prevent pressure on the tumor.
2. The child's behavior will not be affected with a Wilms' tumor.
3. The tumor does not cause excessive lowering of WBCs, so strict isolation is not necessary.
4. The tumor does not cause excessive lowering of RBCs, so administration of packed red blood cells is not usually a nursing intervention.