Author Question: A nurse working in a pediatric clinic recognizes that which child is most at risk for cognitive ... (Read 39 times)

Mr3Hunna · **on:** Jul 22, 2018

A nurse working in a pediatric clinic recognizes that which child is most at risk for cognitive impairment?

a. An infant who is being fed reconstituted powdered formula
b. A toddler living in an older home that is being remodeled
c. A preschooler who attends a play group 3 days a week
d. A school-age child who rides a school bus 5 days a week

Question 2

The nurse is developing a care plan for a patient newly admitted to a unit that cares for patients with cognitive impairment. What is an important component of care for the patients on this unit?

a. Allow food selections from a menu with several choices.
b. Schedule frequent field trips off the unit for cognitive stimulation.
c. Plan for attendance at activities with several other patients on the unit.
d. Plan for a structured daily routine of events and caregivers.

kiamars2010 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
Older homes frequently have lead-based paint; paint chips generated by remodeling put toddlers, who often put foreign objects in their mouths, at risk for exposure to lead which is a known toxic substance that can affect cognitive function. Powdered formulas, attendance at play groups, or riding on a school bus are not known to impair cognitive development.

Answer to Question 2

ANS: D
Patients with a cognitive impairment benefit from a predictable routine and consistent caregivers. Trips off of the unit may confuse the patient and disrupt their normal routine. Offering too many selections causes confusion and can lead to agitation. Being in large groups for activities can overstimulate the patient and lead to agitation and fear.