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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Immediately packing the nares with cotton with neo-synephrine: Packing the nose immediately is not usually recommended as a first aid measure and should be done by a healthcare professional.
b) Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose: Correct first aid for epistaxis involves tilting the head forward to prevent swallowing of blood, applying pressure below the nasal bone, and using ice to constrict blood vessels.
c) Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose: Tilting the head back can cause blood to flow down the throat and potentially lead to swallowing or choking on blood.
d) Lying the child down and applying a warm pack: Lying down may increase the risk of swallowing blood and should be avoided during a nosebleed.
Correct Answer is D
Explanation
a) Oropharynx: While important for general health, in conductive hearing loss, assessing the oropharynx might not directly correlate.
b) Language development: Relevant to assess in the context of hearing loss, but not the most immediate concern in this scenario.
c) Serosanguinous drainage: Typically associated with nasal or ear infections but may not directly relate to conductive hearing loss.
d) Cranial nerve function: Conductive hearing loss can be related to issues in the middle ear or ossicles, making cranial nerve function assessment pertinent to evaluate hearing loss mechanisms.
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