A 13-year-old teen has been brought to the nurse's office at ...

[Engineer]

A 13-year-old teen has been brought to the nurse's office at school because the teacher is concerned about his red eyes and lack of concern for his appearance. The nurse should assess the student:
 
  1. For Pink Eye.
   2. For the use of drugs, especially marijuana.
   3. For flu-like symptoms.
   4. With the CAGE technique.

Question 2

A nurse is assessing a post-operative 3-month-old patient. The nurse knows pain assessment for an infant differs from older children. She should be assessing for which of the following?
 
  1. Oxygen saturations
   2. Tachypnea
   3. Tachycardia
   4. Movement of extremities
   5. Parents' response to the infant

[srodz]

Answer to Question 1

2
Feedback
1. The lack of concern about appearance requires further assessment.
2. Lack of concern and red eyes are indicators of the use of drugs in a teen.
3. The lack of concern about appearance requires further assessment and is usually not an indicator for the flu.
4. The CAGE technique should not be used in the assessment of a teen with possible drug usage.

Answer to Question 2

1, 2, 3, 4
Feedback
1. Oxygen requirements indicate pain.
2. An increased rate of breathing is an indicator of pain.
3. Increased heart rate can indicate pain.
4. Lack of movement or crying with movement can indicate pain.
5. The parental response can comfort the child, but does not physically indicate pain.

[Engineer]

TYSM

[parshano]

Gracias!