Author Question: The school nurse notices a sixth-grade girl with bald patches in her hair. The hair itself is clean ... (Read 32 times)

mikaylakyoung · **on:** Jun 28, 2018

The school nurse notices a sixth-grade girl with bald patches in her hair. The hair itself is clean and shiny. Prior to referring the girl to her healthcare provider for alopecia, the nurse would want to watch the child for signs of:

1. Lice.
2. Dietary imbalances.
3. Schizophrenia.
4. Trichotillomania.

Question 2

A six-year-old boy is admitted to the hospital with a diagnosis of osteomyelitis of the left femur. The plan of care includes a two-week round of intravenous antibiotics.

The father questions why the child must be hospitalized and why the child cannot receive oral antibiotics. The nurse explains: 1. The antibiotic of choice is not available in oral form.
2. Blood flow to bones is limited, and parenteral administration is necessary to get appropriate blood levels.
3. Because the child is older now, it is harder to get the child to cooperate with oral antibiotics.
4. Because two weeks of therapy is necessary, the intravenous route will produce fewer side effects.

chreslie · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

4
Rationale 1: Lice cause attachments of nits to the hair shaft, not hair loss.
Rationale 2: The nurse can assess height, weight, and BMI but will not be able to determine if dietary imbalances is the cause of the problem.
Rationale 3: Schizophrenia is a psychotic disorder whose symptoms include flat affect, loose associations, delusions, and hallucinations.
Rationale 4: Trichotillomania is the term for a condition where children pull out their hair during periods of stress.
Global

Answer to Question 2

2
Rationale 1: Most antibiotics are available in multiple forms.
Rationale 2: This is accurate information.
Rationale 3: The older child can understand the reason for antibiotics and cooperate.
Rationale 4: Both oral and intravenous antibiotics may have side effects.
Global Rationale: