Mandatory testing in the newborn nursery determines that the ...

[swpotter12]

Mandatory testing in the newborn nursery determines that the infant has hypothyroidism. When discussing the treatment with the new mother, the mother states that she doesn't believe in taking medications.
 
  The nurse would explain that failure to treat the infant with the appropriate medication will result in: 1. Heart disease.
  2. Mental retardation.
  3. Renal failure.
  4. Thyroid storm.

Question 2

A six-year-old child is being seen in the clinic for a well-child visit. The child is visibly nervous and fearful of the nurse and the nurse's actions. The nurse should:
 
  1. Ask the parent to leave the examination room as this is probably the cause of the child's nervousness.
  2. Assure the child that you will not hurt her.
  3. Say to the child: Tell me why you are so nervous.
  4. Explain to the child what you are doing in terms the child can understand. Explain the equipment and, when possible, let the child handle the equipment first.

[Ddddd]

Answer to Question 1

2
Rationale 1: If the hypothyroidism is left untreated, the child will experience bradycardia but will not develop heart disease.
Rationale 2: Untreated hypothyroidism will lead to mental retardation.
Rationale 3: Untreated hypothyroidism does not lead to renal failure.
Rationale 4: Thyroid storm is a complication of hyperthyroidism, not hypothyroidism.
Global

Answer to Question 2

4
Rationale 1: The six-year-old child usually is most comfortable when the parent remains in the examination room.
Rationale 2: This is a promise the nurse may not be able to keep. Lab tests and immunizations may be a part of the health visit.
Rationale 3: Explaining feelings and why they are present can be very difficult for adults as well as children. Small children will have even more difficulty in expressing their feelings.
Rationale 4: This activity will help allay the child's fears.
Global Rationale:

[swpotter12]

Thank you

[Ddddd]

No problemo