A nurse is performing an assessment on a school-age child. Which ...

[Garrulous]

A nurse is performing an assessment on a school-age child. Which findings suggest the child is receiving an excess of vitamin A (Select all that apply)?
 
  a. Delayed sexual development
  b. Edema
  c. Pruritus
  d. Jaundice
  e. Paresthesia

Question 2

The nurse is meeting a 5-year-old child for the first time and would like the child to cooperate during a dressing change. The nurse decides to do a simple magic trick using gauze. This should be interpreted as:
 
  a. Inappropriate, because of child's age.
  b. A way to establish rapport.
  c. Too distracting, when cooperation is important.
  d. Acceptable, if there is adequate time.

[Sassygurl126]

Answer to Question 1

ANS: A, C, D
Excess vitamin A can cause delayed sexual development, pruritus, and jaundice. Edema is seen with excess sodium. Paresthesia occurs with excess riboflavin.

Answer to Question 2

ANS: B
A magic trick or other simple game may help alleviate anxiety for a 5-year-old. It is an excellent method to build rapport and facilitate cooperation during a procedure. Magic tricks appeal to the natural curiosity of young children. The nurse should establish rapport with the child. Failure to do so may cause the procedure to take longer and be more traumatic.