Author Question: While assessing a 10-month-old African American infant,the nurse notices that the sclerae have a ... (Read 35 times)

nautica902 · **on:** Jun 27, 2018

While assessing a 10-month-old African American infant,the nurse notices that the sclerae have a yellowish tint. The organ system that the nurse would suspect as having an ongoing disease process is

1. cardiac.
2. respiratory.
3. gastrointestinal.
4. genitourinary

Question 2

Put the following nursing assessments of a toddler in the best order for the nurse to proceed

1. Examination of eyes,ears,and throat
2. Auscultation of chest
3. Palpation of abdomen
4. Developmental assessment

matt95 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:3
Rationale: This infant's sclerae are showing signs of jaundice,which most likely is secondary to a failure or malfunction of the liver in the gastrointestinal system. Cyanosis of the skin and mucous membranes is generally a sign of problems with the cardiac and/or respiratory system. Tenting of the skin and dry mucous membranes could be a sign of dehydration,and edema could be a sign of fluid overload.Both of these conditions could be secondary to problems with functioning of the genitourinary system.

Answer to Question 2

Answer:4,2,3,1
Rationale:In examining a toddler,it is usually best to go from least invasive to most invasive examination in order to build their trust and cooperation. Developmental assessment involves visual inspection and activities that the toddler may view as games and will likely cooperate with. Auscultation is usually less threatening to the toddler than palpation,especially if the nurse were to use the stethoscope on a parent or a toy. The most uncomfortable,invasive exam for the toddler is most likely to be the examination of the eyes,ears,and throat,so that should be performed last.