Author Question: The caregiver of an adolescent remarks to the nurse that her child seems to have fatigue and not get ... (Read 68 times)

craiczarry

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The caregiver of an adolescent remarks to the nurse that her child seems to have fatigue and not get enough oxygen. The physical examination and other tests are normal. Which of the following explanations by the nurse will be most helpful?
 
  a. The tests may have missed a cardiac or respiratory problem and the health care practitioner will probably want to repeat them later.
  b. As the heart becomes larger in adolescence, the pumping mechanism is somewhat inefficient for a while and the lungs have not yet fully matured.
  c. Adolescents fake tiredness to get out of doing chores or associating with people they consider to be boring.
  d. I suggest you take him to one of the better and larger clinics there they have more sophisticated equipment.

Question 2

The nurse examining a 1-year-old child finds some nits and lice. The nurse is aware that children of this age should be treated for nits and lice in which of the following ways?
 
  a. weight dosed for permethrin (Nix) c. manual removal of nits and lice
  b. lice shampoo diluted with water d. wash the hair several times a day



amy.lauersdorf90

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Answer to Question 1

B

Feedback
A Incorrect. The nurse not will best explain the reported fatigue and lack of oxygen by saying: The tests may have missed a cardiac or respiratory problem and the health care practitioner will probably want to repeat them later.
B Correct. The nurse will best explain the reported fatigue and lack of oxygen by saying: As the heart becomes larger in adolescence, the pumping mechanism is somewhat inefficient for a while and the lungs have not yet fully matured.
C Incorrect. The nurse not will best explain the reported fatigue and lack of oxygen by saying: Adolescents fake tiredness to get out of doing chores or associating with people they consider to be boring.
D Incorrect. The nurse not will best explain the reported fatigue and lack of oxygen by saying: I suggest you take him to one of the better and larger clinics there they have more sophisticated equipment.

Answer to Question 2

C

Feedback
A Incorrect. The nurse is aware that permethrin (Nix) is not recommended for use for the 1-year-old child.
B Incorrect. The nurse is aware that lice shampoo diluted with water is not recommended for use for the 1-year-old child.
C Correct. The Division of Parasitic Diseases of the CDC (2004a) does not recommend use of pediculocides on children less than 2 years of age. Treatment for these children should consist of manual removal of nits and lice.
D Incorrect. The nurse is aware that manual removal of nits and lice is superior for the 1-year-old child, not washing the hair.



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