A nurse is assessing a child who appears to be very active, ...

[DelorasTo]

A nurse is assessing a child who appears to be very active, highly anxious, and lacks attention to detail. The nurse asks the child to sit still for the taking of the heart rate. If using Bandura's theory, the nurse will need to:
 
  1. Attempt to do the assessment on someone else first so the child can watch and learn.
   2. Take the heart rate as quickly as possible.
   3. Observe the child's activity level and not document the heart rate.
   4. Allow the child to be active and discuss what a heart rate means.

Question 2

Ascites in a child with known renal disease would cause:
 
  1. A decrease in cardiac output.
   2. The kidneys to quit functioning.
   3. Concern for a malfunctioning lymphatic system.
   4. Increased fluid output.

[josephsuarez]

Answer to Question 1

1
Feedback
1. Demonstration allows the child to decrease his/her anxiety level.
2. Bandura's approach is to calm and reduce stress for the child.
3. The heart rate is required and allowing the child to continue playing will not decrease anxiety and activity level.
4. Teaching the child about heart rate is important, but until the child is focused, the teaching will not be successful.

Answer to Question 2

3
Feedback
1. The ascites comes from the lymphatic system malfunctioning, so the fluid builds up in the body.
2. The kidneys will continue to function, but they are unable to pull out enough fluid.
3. When the lymphatic system malfunctions, it causes the fluid to fill in the body, create the ascites.
4. The fluid is within the lymphatic system and is retained in ascites, so the urine output will be lower.

[DelorasTo]

TYSM

[T4T]

Excellent