The nurse is conducting a well-child assessment for a 5-year-old ...

[TVarnum]

The nurse is conducting a well-child assessment for a 5-year-old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has depression and substance abuse issues.
 
  The nurse understands that the child is at increased risk for which developmental problem? A) Lack of social and emotional readiness for school
  B) Stuttering
  C) Speech and language delays
  D) Fine motor skills delay

Question 2

A nurse is caring for a 10-year-old girl following joint fluid aspiration. The nurse would expect to carry out which of the following immediately after the procedure?
 
  A) Transporting the aspirated fluid to the lab within 30 minutes
  B) Encouraging the child to drink fluids after the procedure
  C) Applying a pressure dressing to the site
  D) Applying a warm moist compress to the site

[Kingjoffery]

Answer to Question 1

A
Response:
Risk factors for lack of social and emotional readiness for school include insecure attachment in the early years, maternal depression, parental substance abuse, and low socioeconomic status.

Answer to Question 2

C
Response:
Following joint fluid aspiration, the nurse should apply a pressure dressing to prevent hematoma formation or fluid recollection and should use cold therapy to decrease swelling. Transporting the specimen to the lab is a priority for the erythrocyte sedimentation rate and blood culture. Encouraging fluids is a priority intervention for tests performed with contrast medium. Application of heat therapy is contraindicated.

[TVarnum]

TYSM

[irishcancer18]

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