EAQ-PEDIATRIC
Which herbal therapies would be beneficial to a client with menstrual cramping? Select all that apply. A. Catnip B. Fennel C. Black haw D. Bugleweed E. Chamomile
ANSWER: A,B,C RATIONALE: Herbal drugs such as catnip, fennel, and black haw are used to treat menstrual cramping and dysmenorrhea. Bugleweed and chamomile are used to treat breast pain.
How do adolescents establish health identity during psychosocial development? Select all that apply. A. By evaluating their own health with a feeling of well-being B. By fostering their independence within a balanced family structure C. By building close peer relationships to achieve acceptance in the society D. By achieving marked physical changes with masculine and feminine behaviors E. By having the ability to function normally in the absence of any disease or infirmity
ANSWER: A,E RATIONALE: Adolescents establish health identity by evaluating their own health with a feeling of well-being. They also establish health identity by being able to function normally in the absence of any disease or infirmity. An individual establishes family identity by fostering their independence within balanced family structure. By building close peer relationships, an adolescent establishes a group identity. The sound and healthy growth of adolescents, characterized by marked physical changes, helps to build sexual identity.
The mother of a preschool-age child tells the school nurse that her husband is dying of cancer and that she is worried about how her child will cope. As part of their discussion, what does the school nurse include that preschool-age children view death as? A. Universal B. Irreversible C. A form of sleep D. A frightening ghost
ANSWER: C RATIONALE: Between the ages of 3 and 5 years death is viewed as a departure or sleep and as reversible. The universality and irreversibility of death are concepts held by children starting at 8 to 9 years of age. The early school-age child of 6 or 7 years personifies death, possibly envisioning it as a ghost, and sees it as horrible and frightening; this is consistent with the concrete thinking present at this age.
During a clinic visit a 4-year-old child suddenly yells, "Don't sit on Erin!" The parent whispers that Erin is an imaginary friend. What is the nurse's best action? A. Referring the parents to classes on parenting B. Providing special instructions for appropriate discipline C. Avoiding sitting where the child says the imaginary friend is located D. Making a referral to a child psychologist regarding the imaginary friend
ANSWER: C RATIONALE: Imaginary friends are typical of children of this age. Avoiding injury to the child's imaginary friend will result in less stress for the child. There is no evidence that the parents are having difficulty with child rearing. Disciplining the child is inappropriate. The child was protecting an imaginary friend, and having imaginary friends is typical of a 4-year-old child. Referral to a specialist is unnecessary; this is typical behavior for a 4-year-old child.
Which quantity of iron, ingested by a child, would be considered in the range of mildly to moderately toxic? a. 8 mg/kg b. 15 mg/kg c. 35 mg/kg d. 65 mg/kg
ANSWER: C RATIONALE: Ingestions of 20 to 60 mg/kg of iron are considered mildly to moderately toxic. So, ingestion of 35 mg/kg of iron is in the range of mildly to moderately toxic. Ingestion of either 8 mg/kg or 15 mg/kg is too little to be considered toxic. Ingestion of amounts greater than 60 mg/kg (here, 65 mg/kg) is severely toxic and may be fatal.
A nurse educates a group of parents about how to teach their children to safely cross roads and walk in parking lots. Which age group of the children is the nurse referring? A. Toddlers B. Adolescents C. Preschoolers D. School-aged children
ANSWER: C RATIONALE: Preschoolers should be taught how to cross roads and walk in parking lots. Parents of toddlers should be instructed to place window guards on all windows and to never leave a child alone in the bathroom, tub, or near any water source. Adolescents should be taught about the effects of using alcohol and drugs and referred to community and school-sponsored activities. School-aged child should be taught about the safe use of equipment for play and work as well as proper bicycle safety.