You continue to obtain a history from C.'s mother and learn C.e. has had "ear problems" and throat infec-
tions since she was a baby.
she is in day care each weekday, the father smokes outside of the house, and
there is a family history of seasonal allergies. C.e. is allergic to penicillin. Her weight is 14 kg.
Describe what you will include in your physical examination with rationales.
A careful system approach assessment should be done.
Head, eyes, ears, nose, throat: Assess and document any drainage from ears. This may occur with a
perforated tympanic membrane or otitis externa. Upper respiratory illness may be a comorbidity.
Document any upper respiratory symptoms such as rhinorrhea or enlarged cervical lymph nodes.
An otoscopic examination might reveal a reddened or bulging tympanic membrane. Inspection of
the throat might reveal pharyngitis: redness, enlarged tonsillar tissue with or without exudate. If
"strep" is suspected, you might see a strawberry tongue.
Respiratory: Monitor and document any abnormal findings such as adventitious breath sounds,
cough, increased work of breathing.
Cardiovascular: Monitor and document vital signs to include temperature, respiratory rate, heart
rate, and blood pressure. These might be elevated with infection or fever.
Gastrointestinal/genitourinary: Assess and document intake and output for adequate fluid balance
and maintenance requirements.
Skin: Document any rashes. "Strep" might appear with a diffuse, red, sandpaper-like rash (scarlet
fever).
Musculoskeletal: Assess for and document any limited range of motion or joint tenderness.
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Fill in the blank(s) with correct word
The school nurse keeps a list of enrolled students who have medical or religious objections to immunizations and those who are likely to have decreased immunity. The nurse likely keeps this list to:
a. facilitate exclusion in case of an outbreak of a highly communicable disease in the school b. reassure the family that the nurse will respect the family's wishes at all times c. meet state and federal requirements d. provide statistics for the state health department
A psychiatric nurse leads a family support group that provides education to and acts as a resource for families who have a member diagnosed with bipolar disorder
Which of the following does NOT describe a type of intervention that this nurse is providing? a. problem intervention b. psychoeducation c. case management d. supportive intervention
Which statement about community health nursing practice is correct?
a. It focuses on the delivery of personal health services to individuals and families. b. It provides care to protect the health of the community as a whole. c. It emphasizes the setting where care is provided for clients and families. d. It requires a baccalaureate preparation for practice.