Author Question: A 3-month-old infant is being seen for a well-child check at the pediatric clinic. The nurse is ... (Read 59 times)

rl · **on:** Jul 22, 2018

A 3-month-old infant is being seen for a well-child check at the pediatric clinic. The nurse is assessing the guardian's knowledge level about the infant's growth and development.

One of the topics that the nurse has chosen to address in this session is the risk for airway obstruction. What is the main reason that the nurse has chosen this topic? a. Infants can have severe allergic reactions to food based on exposure to secondhand smoke.
b. Infants are prone to lower airway infections that can become obstructive.
c. Infants have a tendency to place foreign objects in their mouths.
d. Infants can have airway obstruction from excessive drooling associated with teething.

Question 2

A nurse is told during orientation that the organization is very patient focused and that it uses a documentation system with the acronym PIE. What will the nurse be charting?

a. Problem, intervention, evaluation
b. Patient, interview, evaluation
c. Population, intervention, encourage
d. Plan, interview, enhance

catron30 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Infants and toddlers are at risk for airway obstruction because of their tendency to place a foreign object in their mouth. Infants and toddlers are at risk for upper respiratory tract infections, not allergic food reactions, as a result of frequent exposure to other children and exposure to secondhand smoke. During the teething process some infants develop nasal congestion, which encourages bacterial growth and increases the risk for respiratory tract infection, but not for airway obstruction. Infants are prone to upper respiratory tract infections, not lower airway infections, which usually are not dangerous, and infants and toddlers recover with little difficulty.

Answer to Question 2

A
PIE is an acronym for problem, interventions, evaluation as follows:
P: Problem or nursing diagnosis applicable to patient
I: Interventions or actions taken
E: Evaluation of the outcomes of nursing interventions
The PIE format simplifies documentation by unifying the care plan and progress notes into a complete record. PIE does not include patient, population, or plan. It also does not have encourage or enhance.