Author Question: While working in a pediatrician's office, the nurse frequently steps into the waiting room to speak ... (Read 54 times)

hbsimmons88 · **on:** Jun 28, 2018

While working in a pediatrician's office, the nurse frequently steps into the waiting room to speak quickly with the families and children waiting their turn. This allows her the opportunity to observe the children and their families.

Based on her observations, which child should the nurse move to the examining room next? 1. The child with a flushed face and rash that is visible on all exposed skin
2. The fourmonth-old infant who has come for immunizations
3. The child holding his ear and crying
4. The adolescent holding his swollen hand and complaining of pain

Question 2

The nurse in the tuberculosis clinic recognizes that different racial groups are known to metabolize isoniazid (INH) differently.

Which racial group is most likely to experience overdose and neuropathy with standard dosing regimens of isoniazid, because this group metabolizes INH at a slower rate? 1. Native American
2. Black
3. Japanese.
4. White

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

Answer to Question 1

1
Rationale 1: The flushed face could indicate a fever. The rash may be related to a communicable disease. It is important that this child not expose other children, so this child should be moved to the examination room to reduce exposure.
Rationale 2: This child can wait until called to the examining room.
Rationale 3: This child probably has an ear infection and can wait until called to the examining room.
Rationale 4: This child may have a break or a sprain but can wait until called to the examination room.
Global Rationale:

Answer to Question 2

1
Rationale:

1. Ninety percent of Native Americans metabolize isoniazid slowly, so individuals from this race require less medication to avoid neuropathic symptoms.
2. Greater than 50 of Blacks metabolize isoniazid slowly.
3. Only 734 of Japanese clients metabolize isoniazid slowly.
4. Less than 50 of Whites metabolize isoniazid slowly.