Chronic health problems in children often create complex needs for families. When a nurse is assessing the child and family, which of the following should be taken into account?
1. The ability of the family to pay for expensive equipment
2. The degree of impairment to the child's ability to develop
3. How often recreational activities will take place
4. Special needs "camp" placement for the child in the summer
ANS: 2
The degree of impairment to the child's ability to develop is a concern of the community health nurse.
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Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple regarding an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for:
A) special care needed for a Down syndrome infant B) a more specific determination of the acid-base status C) further, more definitive evaluations to conclude anything D) immediate termination of the pregnancy based on results
In presenting to obstetric nurses interested in genetics, the genetic nurse identifies the primary risk(s) associated with genetic testing as:
a. Anxiety and altered family relationships. b. Denial of insurance benefits. c. High false positives associated with genetic testing. d. Ethnic and socioeconomic disparity associated with genetic testing.
The parents of a child recovering from Kawasaki disease apologize for the child's irritability. The nurse's response is based on the knowledge that irritable behavior is:
a. An end result of overindulgence while in the hospital b. A side effect of the antiplatelet therapy c. One of the classic signs of Kawasaki disease d. A reaction to limited activity
A patient admitted to the emergency department with abdominal pain tells the nurse he has been taking kava. Which of the following should be included in the nurse's evaluation of this patient? (Select all that apply.)
a. Ask the patient to provide a urine sample to assess color. b. Check the sclera for yellowing. c. Listen to the apical rate for tachycardia. d. Ask the patient to provide a stool sample to assess color. e. Obtain serum liver function studies.