Following a tornado destroying the family home and injuring all ...

[rlane42]

Following a tornado destroying the family home and injuring all family members, the four-year-old child is admitted to the Pediatric Intensive Care Unit. All other family members are hospitalized at a different hospital.
 
  The nursing staff can provide the four-year-old with a sense of security by: 1. Providing new toys for the child.
  2. Asking a hospital volunteer to visit the child daily and stay as long as possible.
  3. Explaining to the child that mom and dad also are sick and cannot come to visit.
  4. Keeping the child's security blanket with the child at all times.

Question 2

The policy of the pediatric clinic is that head circumferences are performed at each visit, if appropriate. The nurse should plan to check head circumferences on which of the children being seen today? Standard Text: Select all that apply.
 
  1. One-month-old child who is coming for his first well-child visit
  2. Two-month-old child with failure to thrive
  3. Nine-month-old child with otitis media
  4. 18-month-old well-child visit for a child with Down's syndrome

[aruss1303]

Answer to Question 1

4
Rationale 1: Toys are beneficial to normalizing the situation but will not provide as much comfort as the parents' presence.
Rationale 2: Stability of the people around the child will add to the comfort but is not the best response.
Rationale 3: The child is too young to grasp the situation.
Rationale 4: A security blanket or teddy bear from home will provide the most comfort to the child.
Global Rationale:

Answer to Question 2

1,2,3,4
Rationale 1: The fontanels are open and the head will increase in size until two years of age.
Rationale 2: The posterior fontanel is closed or closing. The anterior fontanel is open and head circumference will increase. The head circumference should be monitored to make sure the failure to thrive is not affecting brain development.
Rationale 3: The anterior fontanel is still open, and the head circumference is still increasing slightly. Failure to see the increase could indicate the sutures have closed prematurely. The otitis media diagnosis is unrelated to the general assessment findings.
Rationale 4: The anterior fontanel is closed or closing. The head circumferences should be evaluated until the child is two years old. The diagnosis of Down's syndrome does not change the need to monitor the child's progress.
Global Rationale:

[rlane42]

Thank you

[aruss1303]

No problemo