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Author Question: The nurse is caring for an immunosuppressed 3-year-old girl and is providing teaching to the mother ... (Read 107 times)

fnuegbu

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The nurse is caring for an immunosuppressed 3-year-old girl and is providing teaching to the mother about proper oral hygiene. Which of the following responses from the mother indicates a need for further teaching?
 
  A) I really need to carefully check for skin breakdown..
  B) I must really scrub her teeth and gums well..
  C) I must use a soft toothbrush..
  D) I can use a soft gauze sponge to care for her gums..

Question 2

The nurse is planning care for a toddler who is diagnosed with a profound hearing loss. Which nursing diagnosis should the nurse identify as the priority once the child is discharged?
 
  A) Risk for injury related to hearing loss
  B) Social isolation related to effects of hearing loss
  C) Impaired verbal communication related to congenital hearing deficit
  D) Risk for parental role strain related to responsibilities of caring for sensory impaired child



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lorealeza77

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Answer to Question 1

B
Feedback:
The nurse should caution the mother that overly vigorous brushing should be avoided as it can injure or irritate the gums. The other statements are recommended guidelines for care.

Answer to Question 2

A
Feedback:
The child is a toddler and will be exploring areas throughout and outside of the home. With a hearing deficit, the child will not be able to hear any warnings from the parents. This increases the child's risk of injury related to the hearing loss. The child may or may not experience social isolation from the hearing loss. It is too soon to determine if the child will have impaired verbal communication, and it is unknown if the hearing deficit is congenital. The parents will be challenged to care for a sensory impaired child; however, the child's risk for injury would be the priority.





 

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