The nurse is caring for a pediatric patient recently diagnosed ...

[schs14]

The nurse is caring for a pediatric patient recently diagnosed with severe combined immunodefi-ciency (SCID) disease. The nurse determines that teaching has been effective after the parent makes which statement?
 
  a. This disease is like a pediatric version of AIDS.
  b. My child must be careful not to fall to avoid bleeding.
  c. My child should not attend day care.
  d. This problem happened because of che-motherapy treatments.

Question 2

A patient has come to the ambulatory care clinic with a sprain. The nurse correctly differentiates a grade 2 sprain from a grade 3 sprain with the assessment of which finding?
 
  a. Pain
  b. Swelling
  c. Bleeding into the joint
  d. Minor loss of function

[Chelseyj.hasty]

Answer to Question 1

C
There are two forms of immune deficiency: primary and acquired. In primary immune deficiency disorders (PIDD), the cause is an inherited genetic mutation and some of PIDD are detected during infancy or early childhood. Patients with this type of disorder experience repeated infec-tions that clearly increase their risk of morbidity and mortality as well as the cost of health care. AIDS is an example of acquired immune deficiency and affects pediatric patients as well as adults. Hemophilia is a disorder in which patients can suffer life-threatening bleeds from a fall. Chemotherapy recipients may develop an acquired immune disorder, but chemotherapy would not cause any type of immune disorder in the child.

Answer to Question 2

D
The minor loss of function is the differentiating factor. Pain, swelling, and bleeding into the joint are true of both grade 2 and grade 3 sprains. A grade 3 sprain has loss of function of the joint.

[schs14]

Excellent

[mohan]

Thanks for the timely response, appreciate it