The nurse asks the parents of a child about the family health history. The father asks the nurse why she needs this information. The nurse would explain that the family health history is gathered for what reason?

Identifying risk factors in families decreases the child’s risk of developing the same conditions or health problems.

By establishing family behavior, the nurse forces the parents to alter their care of their child and make them healthier.

The nurse needs to know everything about a family to take care of the child.

The number of family members that have a certain health problem will help the nurse know if the child will have the same problem.

Answer and Explanation

The Correct Answer is A

Choice A reason: Family health history identifies genetic and environmental risk factors, enabling preventive measures to reduce the child’s likelihood of developing similar conditions. This aligns with pediatric health assessment goals, making it the correct explanation for gathering family health history data during the clinical encounter.

Choice B reason: Family history does not force parental behavior changes but informs risk assessment. Suggesting coercion is inaccurate, as the goal is prevention through awareness, making this incorrect compared to identifying risk factors as the primary reason for collecting health history from the parents.

Choice C reason: Needing to know “everything” is overly broad and impractical. Family health history specifically targets relevant risk factors for the child’s health, not all family details, making this vague and incorrect for the focused purpose of gathering targeted medical history during the assessment.

Choice D reason: The number of affected family members informs risk but does not definitively predict the child’s health outcomes. Identifying risk factors for prevention is the broader goal, making this too narrow and incorrect for the primary reason for collecting family health history in pediatric care.

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Correct Answer is D

Explanation

Choice A reason: Rheumatic fever follows streptococcal infections but typically presents with joint pain or carditis, not puffy eyes or abnormal urine. Glomerulonephritis matches the post-infectious symptoms, making this incorrect, as it does not align with the child’s clinical presentation after ear infections.

Choice B reason: Lipoid nephrosis causes edema but lacks a clear link to recent infections or hematuria. Acute glomerulonephritis better explains the symptoms post-ear infection, making this less fitting and incorrect for the suspected condition based on the child’s reported signs and history.

Choice C reason: Urinary tract infections cause dysuria or frequency, not typically puffy eyes or hematuria post-infection. Glomerulonephritis aligns with the streptococcal history and symptoms, making this incorrect compared to the condition suspected based on the child’s clinical presentation to the nurse.

Choice D reason: Acute glomerulonephritis, often post-streptococcal from ear infections, causes hematuria (“funny” urine), periorbital edema (puffy eyes), and headache. This aligns with pediatric nephrology evidence, making it the correct condition the nurse suspects, prompting immediate evaluation by a care provider for the child.

A. “The purpose of this form of suctioning is to remove secretions from the nose and mouth.” B. “If possible, the child should be asked to cough before suctioning.” C. “Sterile normal saline drops are used to loosen the dried secretions prior to nasal suctioning.” D. “Such suctioning is only done with a bulb syringe.”

Correct Answer is D

Explanation

Choice A reason: Suctioning removes secretions from the nose and mouth, a correct purpose. This statement reflects accurate understanding of the procedure’s goal, making it correct and not requiring further instruction, unlike the misconception about exclusive bulb syringe use in suctioning discussed in the seminar.

Choice B reason: Asking a child to cough before suctioning clears airways and is appropriate when feasible, showing correct knowledge. This does not indicate a need for instruction, making it incorrect compared to the incorrect limitation of suctioning to bulb syringes only in the student’s statement.

Choice C reason: Using sterile saline drops to loosen secretions is a standard practice in nasal suctioning, reflecting accurate technique. This statement is correct, making it incorrect for needing further instruction, unlike the erroneous restriction of suctioning to bulb syringes alone in the seminar discussion.

Choice D reason: Suctioning is not limited to bulb syringes; catheter or mechanical suction is used in clinical settings for deeper secretions. This statement reflects a misunderstanding, requiring further instruction on suctioning methods, aligning with pediatric nursing standards, making it the correct choice for additional teaching.

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The nurse asks the parents of a child about the family health history. The father asks the nurse why she needs this information. The nurse would explain that the family health history is gathered for what reason?

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Correct Answer is D

Explanation

The nurse is presenting a post-conference seminar to a group of nursing students on the topic of suctioning of a child. Which statement made by a student demonstrates a need for further instruction on this procedure?

Correct Answer is D

Explanation

The nurse is preparing a presentation depicting the various ways pathogens are spread around. The nurse will illustrate that pathogens passed around via insects is referred to as which mechanism?

The nurse asks the parents of a child about the family health history. The father asks the nurse why she needs this information. The nurse would explain that the family health history is gathered for what reason?

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The nurse is discussing the ears and hearing in a child with a group of peers. Which statement is most accurate related to this topic?

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