A mother brings her 2-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?
Focusing exclusively on the reported illness
Asking the mother to leave the room after obtaining their history
Obtaining a comprehensive history, including socio-economic data
Reviewing health promotion and maintenance activities
The Correct Answer is C
a) Focusing exclusively on the reported illness: Given the regular visits and the gap since the last well-child visit, it's essential to consider a broader perspective beyond the reported illness.
b) Asking the mother to leave the room after obtaining their history: This situation doesn't suggest the need to exclude the mother from the discussion.
c) Obtaining a comprehensive history, including socio-economic data: This approach considers the child's health within a broader context, taking into account any changes or potential factors influencing the child's health.
d) Reviewing health promotion and maintenance activities: While important, this situation requires a broader assessment due to the gap between visits and a sick visit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.
b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.
c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.
d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.
Correct Answer is B
Explanation
a) Plan a movie afternoon with the child’s big brother: While valuable for family bonding, it's not directly related to health promotion activities.
b) Maintain appropriate immunizations: Ensuring the child is up-to-date with vaccinations is a crucial aspect of health promotion for children, preventing various illnesses.
c) Teach the child the proper method for brushing the teeth: Important for oral health but not the highest priority among health promotion activities.
d) Make arrangements to tour the kindergarten in which the child will enroll next year: Helpful for the child's future transition to kindergarten but not a direct health promotion activity.
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