A 7-year-old child is seen in the pediatric clinic 3 times in the last 2 months for complaints of abdominal pain. On each occasion, the physical examination and all ordered laboratory work have been normal
Which is the priority nursing assessment at this time? 1. The child's normal eating habits
2. Recent viral illnesses or other infectious symptoms
3. Review of the child's immunization history
4. Changes in school or home life
4
Explanation:
1. Because of the abdominal complaints, the child's eating habits would have already been discussed.
2. With normal blood work and tests, the chance of any illness over the last few months is unlikely.
3. The immunization history would have been reviewed on the previous visits.
4. With a normal examination and laboratory work, there is a high probability that this child's abdominal pain is stress related, and it is most important to identify the possible stressors in this child's life to aid in diagnosis and treatment. Asking about changes in home or school life is most likely to get to information about recent stresses in the child's life.
You might also like to view...
A nurse is teaching a male adult patient about the use of testosterone gel. Which statement by the patient indicates an understanding of the teaching?
a. "I should apply this to my forearms and neck after showering." b. "I should keep treated areas exposed to the air so that they can dry." c. "I should not let my child touch the gel to prevent behavioral problems." d. "I should not swim or bathe for 3 to 4 hours after applying the gel."
A patient is being treated with trimethoprim-sulfamethoxazole (Bactrim) for bronchitis. The patient has been taking captopril (Capoten) and spironolactone (Aldactone). The nurse would expect which of the following findings?
a. Potassium level of 5.5 mEq/L b. Potassium level of 3.5 mEq/L c. Sodium level of 139 mEq/L d. Chloride level of 104 mEq/L
While communicating with a client who is hearing impaired, the nurse must take into account that the impairment serves as a
A) Handicap B) Filter C) Blocker D) Receptor
There was an outbreak of Salmonella poisoning at a nursing home. Several residents were hospitalized as a result of their infections. What is the best term to describe this health care–acquired infection?
A. Exogenous infection B. Suprainfection C. Endogenous infection D. Asymptomatic infection