Answer to Question 1
3
Rationale 1: While ankle edema could lead to both decreased ankle mobility and compromise in skin integrity, diagnosing and treating the underlying cause of the edema is most important.
Rationale 2: While there may be an underlying condition causing the edema that could later result in changes in level of consciousness, assessing level of consciousness based on these findings is unlikely to elicit the cause of the child's edema.
Rationale 3: Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney and cardiac disorders. Decreases in urine output also can indicate compromise in the renal and cardiac systems.
Rationale 4: While ankle edema could lead to both decreased ankle mobility and compromise in skin integrity, diagnosing and treating the underlying cause of the edema is most important.
Global Rationale:
Answer to Question 2
3
Rationale 1: All blood cells are affected.
Rationale 2: Cells are normally shaped, just in insufficient numbers.
Rationale 3: In aplastic anemia, the bone marrow does not produce sufficient numbers of circulating blood cells.
Rationale 4: There is no known association with viral illness.
Global
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Principles of Pediatric Nursing: Caring for Children (Ball et al.)