Author Question: A 7-year-old child has been seen in the pediatric clinic three times in the last two months for ... (Read 77 times)

penguins · **on:** Jun 27, 2018

A 7-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain.Physical exam and all ordered lab work have been normal.

The statement by the nurse working with this child that would be most likely to help determine the etiology of this child's abdominal pain is
1. Have there been any changes inyour child's school or home life recently?
2. Tell me what your child usually eatson a normal day.
3. Are your child's immunizations upto date?
4. Has your child had any fevers orviral illnesses in the last three months?

Question 2

A high school student calls to ask the nurse for advice on how to care for a new navel piercing. The nurse should reply

1. Apply warm soaks to the area for thefirst two days to minimize swelling.
2. Do not move or turn the jewelry forthe first three days.
3. Avoid contact with another person'sbodily fluids until the area is well healed.
4. Apply lotion to the area,rubbinggently,to prevent skin from becoming dry and irritated.

kmb352 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:1
Rationale: With a normal exam and lab work there is a high probability that this child's abdominal pain is stress related,and it is most important to identify the possible stressors in this child's life to aid in diagnosis and treatment. The other questions are also important to ask but are not as relevant to this child's symptoms as,Have there been any changes in your child's school or home life recently?

Answer to Question 2

Answer:3
Rationale:Until the piercing has healed,it is a nonintact area of skin that has potential for infection,especially from contact with bodily fluids from someone else.Ice,not warm soaks,should be applied to the area for the first two days to minimize the swelling. The jewelry needs to be gently rotated several times per day to aid with healing.Lotion can provide a medium for bacteria and rubbing at the site can cause irritation to the area.