A nurse is reviewing the medical history of a 6-month-old infant who is being admitted to the pediatric unit. What information should the nurse obtain from the parents? (Select all that apply.)
The infant's immunization status
The infant's birth weight and length
The infant's feeding and sleeping patterns
The infant's developmental milestones
The infant's family history of allergies
Correct Answer : A,C,D,E
Choice A reason: The infant's immunization status is important information to obtain, as it may indicate the risk of vaccine-preventable diseases or adverse reactions to vaccines.
Choice B reason: The infant's birth weight and length are not relevant information to obtain, as they do not reflect the current growth and development of the infant.
Choice C reason: The infant's feeding and sleeping patterns are important information to obtain, as they may indicate nutritional status, growth rate, comfort level, and potential problems such as reflux, colic, or sleep apnea.
Choice D reason: The infant's developmental milestones are important information to obtain, as they may indicate normal or abnormal development, cognitive abilities, motor skills, and social-emotional functioning.
Choice E reason: The infant's family history of allergies is important information to obtain, as it may indicate genetic predisposition or environmental triggers for allergic reactions or asthma.
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Correct Answer is D
Explanation
Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent vaso-occlusive crises, which are episodes of severe pain caused by blocked blood vessels due to sickled red blood cells.
Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent hemolytic crises, which are episodes of rapid red blood cell destruction due to dehydration or infection.
Choice C reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent megaloblastic anemia, which is a type of anemia caused by folic acid deficiency due to increased red blood cell production.
Choice D reason: This instruction is the most important for the nurse to give to the child and family, as it helps prevent sequestration crises, which are episodes of life-threatening organ damage caused by pooling of blood in the spleen or liver due to sickled red blood cells.
Correct Answer is A
Explanation
Choice A reason: This action should be taken first by the nurse, as it provides essential data about the child's condition and helps identify any signs of deterioration or complications.
Choice B reason: This action should be taken by the nurse after obtaining a set of baseline vital signs, as it provides more comprehensive data about the child's physical status and helps identify any abnormalities or problems.
Choice C reason: This action should be taken by the nurse after performing a head-to-toe physical assessment, as it provides additional data about the child's risk of infection or adverse reactions to vaccines.
Choice D reason: This action should be taken by the nurse after reviewing the child's immunization record, as it provides important data about the child's risk of allergic reactions or drug interactions.
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