The nurse is assessing a 3 year old for drainage from the nose. ...

[bclement10]

The nurse is assessing a 3 year old for drainage from the nose. On assessment, a purulent drainage that has a very foul odor is noted from the left naris and no drainage is observed from the right naris. The child is afebrile with no other symptoms.
 
  What should the nurse do next?
  a.
  Refer to the physician for an antibiotic order.
  b.
  Have the mother bring the child back in 1 week.
  c.
  Perform an otoscopic examination of the left nares.
  d.
  Tell the mother that this drainage is normal for a child of this age.

Question 2

The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. During an inspection of his mouth, the nurse should look for:
 
  a. Swollen, red tonsils.
  b. Ulcerations on the hard palate.
  c. Bruising on the buccal mucosa or gums.
  d. Small yellow papules along the hard palate.

[jaykayy05]

Answer to Question 1

ANS: C
Children are prone to put an object up the nose, producing unilateral purulent drainage with a foul odor. Because some risk for aspiration exists, removal should be prompt.

Answer to Question 2

ANS: C
The nurse should notice any bruising or laceration on the buccal mucosa or gums of an infant or young child. Trauma may indicate child abuse from a forced feeding of a bottle or spoon.

[bclement10]

Excellent

[epscape]

Gracias!