A mother brings her two-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?
Asking the mother to leave the room after obtaining the history.
Reviewing health promotion and maintenance activities.
Obtaining a comprehensive history, including sociodemographic data.
Focusing exclusively on the reported illness.
The Correct Answer is D
Choice A reason: This choice is incorrect. There is no need for the mother to leave the room unless the child requests privacy.
Choice B reason: This choice is incorrect. While reviewing health promotion is important, it should not be the focus during a sick visit.
Choice C reason: This choice is incorrect. A comprehensive history is not necessary if the child is regularly seen and was recently assessed.
Choice D reason: This is the correct choice. The nurse should focus on the current illness reported by the mother, as the child has been regularly seen and assessed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Increased deep tendon reflexes are not typically associated with hyponatremia.
Choice B reason: Bradycardia is a concern but is not the most immediate complication of hyponatremia.
Choice C reason: Respiratory distress may occur, but it is not the primary concern with hyponatremia.
Choice D reason: This is the correct choice. Seizures can occur with severe hyponatremia and require immediate intervention. The nurse should monitor the child closely for any signs of neurological changes.
Correct Answer is ["A","C"]
Explanation
Choice A reason: Allowing parents to hold, touch, and rock their deceased infant can be a crucial part of the grieving process, offering a personal and intimate way to say goodbye.
Choice B reason: While understanding the cause of the incident is important, it is not considered supportive care; it is more investigative and might not provide immediate comfort to the grieving family.
Choice C reason: Providing mementos like footprints and blankets can serve as tangible memories of the infant, helping parents in their grieving and healing process.
Choice D reason: Advising parents about autopsy decisions is sensitive and should be handled with care; it is not inherently supportive as it may not align with the family's wishes or needs during their time of grief.
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