During a well-child visit, the nurse questions the mother about a ...

[tnt_battle]

During a well-child visit, the nurse questions the mother about a toddler's food habits.
 
  The mother expresses concern that her child, who used to be a good eater and would eat all types of vegetables, now refuses all but three types of vegetables. Which is the appropriate response for the nurse to make to the mother? 1. This is a serious concern, and we need to address this with the physician.
  2. Toddlers often go on food jags. Just continue to offer all types of vegetables without making it an issue.
  3. Don't make an issue over it. Just stop offering those favorite vegetables and the child will start eating other vegetables.
  4. Have you thought about adding a multivitamin to the child's daily routine?

Question 2

The nurse is caring for a child who experiences an anaphylactic shock reaction. Which of the following positions would be the most appropriate in which to place this child?
 
  1. Trendelenburg position
   2. high Fowler's position
   3. reverse Trendelenburg position
   4. Flat, with legs slightly elevated

[FergA]

Answer to Question 1

2
Rationale 1: Food jags are common in this age group.
Rationale 2: Food jags come and go. Unless the avoidance becomes extreme, it does not present a major problem.
Rationale 3: A variety of vegetables should be offered including the favorite ones.
Rationale 4: While a multivitamin is often a good idea during the toddler period, this statement does not address the mother's concern about the food jags.
Global Rationale:

Answer to Question 2

4
Rationale:
1. The Trendelenburg position has the head of the bed elevated, and will not be effective to maintain a blood pressure when shock is occurring. It is no longer recommended for the treatment of shock, as it causes abdominal organs to press against the diaphragm, which impedes respirations and decreases coronary artery filling.
2. The high Fowler's position has the head of the bed elevated, and will not be effective to maintain a blood pressure when shock is occurring.
3. The reverse Trendelenburg position has the head of the bed elevated, and will not be effective to maintain a blood pressure when shock is occurring.
4. Flat, with legs slightly elevated, is the position that is used for a client experiencing shock. This allows for the blood pressure to be maintained during this critical time.

[tnt_battle]

Thank you

[FergA]

Happy to help you