Author Question: An appropriate nursing diagnosis for a child with a cognitive dysfunction who has a limited ability ... (Read 31 times)

cagreen833 · **on:** Jun 28, 2018

An appropriate nursing diagnosis for a child with a cognitive dysfunction who has a limited ability to anticipate danger is:

a. Impaired Social Interaction. c. Risk for Injury.
b. Deficient Knowledge. d. Ineffective Coping.

Question 2

The school nurse is caring for a child with a penetrating eye injury. Emergency treatment includes:

a. Applying a regular eye patch.
b. Applying a Fox shield to the affected eye and any type of patch to the other eye.
c. Applying ice until the physician is seen.
d. Irrigating the eye copiously with a sterile saline solution.

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

Answer to Question 1

ANS: C
The nurse needs to know that limited cognitive abilities to anticipate danger lead to risk for injury. Impaired social interaction is indeed a concern for the child with a cognitive disorder but does not address the limited ability to anticipate danger. Because of the child's cognitive deficit, knowledge will not be retained and will not decrease the risk for injury. Ineffective individual coping does not address the limited ability to anticipate danger.

Answer to Question 2

ANS: B
The nurse's role in a penetrating eye injury is to prevent further injury to the eye. A Fox shield (if available) should be applied to the injured eye, and a regular eye patch to the other eye to prevent bilateral movement. Applying a regular eye patch or ice until the physician is seen, or irrigating the eye with a copious amount of sterile saline, may cause more damage to the eye.