Author Question: When conducting a health history for a pediatric client, which action by the nurse is appropriate? ... (Read 125 times)

OSWALD · **on:** Jun 25, 2018

When conducting a health history for a pediatric client, which action by the nurse is appropriate?

1. Asking the client which grade they are in.
2. Monitoring the client's vital signs.
3. Assessing the cardiovascular system.
4. Documenting immunizations administered during the visit.

Question 2

Click on the down arrow for each response in the right column and select the correct choice from the list.

1. The client's skin is cool and dusky. Poor capillary refill noted. Oxygen saturation level is 90 on room air. The client was diagnosed with COPD in 1993.
2. The nurse will apply oxygen at two liters per minute per healthcare provider's orders, when the client's oxygen saturation level is below 92.
3. The client states, I am so tired all of the time. I feel like I'm not getting enough air into my lungs.
4. The client is most likely experiencing an exacerbation of a chronic lung disease.

fatboyy09 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
During the health history for a pediatric client, it is appropriate for the nurse to ask the client which grade they are currently in. Monitoring the client's vital signs and assessing the client's cardiovascular system would be completed in the physical examination, not the health history portion of the assessment. Documenting immunizations administered during the current visit would occur after the nurse administers them prior to the close of the assessment, not during the health history.

Answer to Question 2

Correct Answer: 3, 1, 4, 2
S refers to subjective data that are provided by the client regarding the symptoms that the client is experiencing. O refers to objective data. The nurse documents information about the signs that the client is exhibiting. A refers to assessment. The nurse draws conclusions regarding the subjective and objective data that the nurse has collected about the client. P refers to planning. Planning indicates that interventions that the nurse can use to help resolve the client's problems or address the client's needs.