The nurse is caring for a 14-year-old girl with special health ...

[jon_i]

The nurse is caring for a 14-year-old girl with special health needs. What is the priority intervention for this child?
 
  A) Encouraging the parents to promote the child's self-care
  B) Assessing the child for signs of depression
  C) Discussing how her care will change as she grows
  D) Monitoring for compliance with treatment

Question 2

The nurse is caring for a school-age child recovering from an open reduction for a fractured femur. Which assessment findings indicate that the child is developing an infection? (Select all that apply.)
 
  A) Lethargy
  B) Increased pulse rate
  C) Reduced pulse in the ankle
  D) Cyanosis of the casted foot
  E) Increased body temperature

[pikon]

Answer to Question 1

C
Feedback:
The priority intervention is monitoring for compliance with treatment. The girl is struggling to fit in with her peers and may try to hide or ignore her illness. Monitoring for depression and encouraging self-care have a lesser impact on the child's physical health. A transition plan to adulthood may be initiated some time in mid adolescence.

Answer to Question 2

A, B, E
Feedback:
Children with an open reduction are prone to infection. The nurse should suspect an infection if the systemic symptoms of increased pulse, increased temperature, and lethargy are present. Reduced pulse in the ankle and cyanosis of the casted foot are manifestations of compartment syndrome.