Author Question: A fouryear-old child is seen in the pediatric clinic for a well-child visit. During this visit, the ... (Read 99 times)

lak · **on:** Jun 28, 2018

A fouryear-old child is seen in the pediatric clinic for a well-child visit. During this visit, the nurse recognizes that appropriate assessments that should be completed at this time include: Standard Text: Select all that apply.

1. Height and weight.
2. Head circumference.
3. Four-year-old required immunizations.
4. Developmental assessment.
5. Safety counseling.

Question 2

A child with leukemia has a granulocyte count of 250/mm3 and a platelet count 150,000/mm3. Nursing intervention would include which of the following?

1. Fluid restriction
2. Avoidance of mouth care
3. Strict isolation
4. Good hand washing

vboyd24 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1,3,4,5
Rationale 1: The child's height and weight are measured at every healthcare visit.
Rationale 2: Head circumference is measured only in the first two years of life. Sutures close at that time, eliminating the need to monitor.
Rationale 3: Four-year-old children are seen for healthy child visits once a year. The immunizations should be given at this time.
Rationale 4: Developmental assessment is done at every healthy child visit.
Rationale 5: Safety counseling is a part of every health care visit.
Global Rationale:

Answer to Question 2

4
Rationale 1: Fluids should continue to be encouraged.
Rationale 2: Platelet count is normal; mouth care should include brushing with a soft toothbrush and frequent rinsing.
Rationale 3: The child should be isolated from anyone infectious, but strict isolation is not necessary.
Rationale 4: Hand washing is vital for preventing the spread of infection.
Global