When examining a 2-year-old child during a well-child physical, ...

[bobbysung]

When examining a 2-year-old child during a well-child physical, it is most important for the nurse to assess
 
  1. Visual acuity.
   2. Helmet use.
   3. Risk of lead exposure.
   4. Whether household drinking water contains fluoride.

Question 2

The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to:
 
  1. Diagnose a six-year-old with diversional activity deficit related to placement in isolation.
  2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery.
  3. Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic.
  4. Provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options.

[momolu]

Answer to Question 1

3
1. Visual acuity might be difficult to assess accurately at this age secondary to the child's compliance and ability to understand the directions for the screening test.
2. While teaching helmet use at an early age is important, it is unlikely that this child is riding a bicycle yet.
3. Elevated lead levels are neurotoxic to young children, and can cause irreparable neurological damage if untreated.
4. Although early exposure to fluoride is important for good dental health, lack of fluoridated drinking water will not be as harmful to the child as will toxic lead levels.

Answer to Question 2

3
Rationale 1: Nursing diagnoses are a responsibility of the nurse in an acute care unit.
Rationale 2: Listening to concerns is within the expectations of a nurse in an acute care unit.
Rationale 3: Advanced practice nurse practitioners perform assessment, diagnosis, and management of health conditions. The role of the pediatric nurse includes providing nursing assessment, direct nursing care interventions, client and family education at developmentally appropriate levels, client advocacy, case management, minimization of distress, and enhancement of coping.
Rationale 4: Providing information about support groups is within the expectations of the nurse in an acute care unit.
Global Rationale:

[bobbysung]

Correct answers!

[momolu]

Great! Please up vote