Week 8
Medication is prescribed for a child with attention-deficit/hyperactivity disorder (ADHD). Which information would the school nurse emphasize when discussing this child's treatment with the parents?
Monitoring the effects of the medication on their child's behavior By monitoring and reporting changes in the child's behavior, the health care provider can determine the effectiveness of the medication and the optimal dosage. Parents should not be encouraged to tutor their children because there may be too much emotional interaction. This child's behavior is not deliberate or easily controllable; this type of statement may lead to diminished self-esteem in the child if control does not occur. Children, especially children with ADHD, need more structure than do adults.
Which intervention would the nurse plan to implement for a school-aged child with autism spectrum disorder (ASD) who has been hospitalized for some tests?
Placing the child in a private room The child with ASD should be placed in a private room. Decreasing stimulation by placing the child in a private room may lessen the disruptiveness of hospitalization. Play should be carefully planned; overstimulation can precipitate behavioral outbursts. Children with ASD need to be introduced slowly to new situations, with visits from staff caregivers kept short whenever possible. Because these children have difficulty organizing their behavior and redirecting their energy, they need to be told directly what to do. Explanations about tests should be at the child's developmental level, brief, and concrete.
An infant has been admitted with failure to thrive. The nurse knows that more education is needed when one of the parents makes which statement?
"I can double the amount of water in the formula to save money." Doubling the amount of water in the formula reduces the baby's caloric intake. Holding the head up, burping the baby, and making sure that formula is in the nipple are all ways to increase caloric intake and reduce the chance of postfeeding vomiting due to air swallowing.
Which intervention would the nurse perform while caring for a preschooler with lead poisoning? Select all that apply. One, some, or all responses may be correct.
-Administering chelation therapy -Preventing further lead exposure -Identifying the sources of lead in the environment While caring for a preschooler exposed to lead poisoning, the nurse would administer the chelation therapy, prevent further exposure of the child to lead, and identify the sources of lead in the environment. In an attempt to identify the source of the lead, the nurse would educate parents to use cold water, instead of hot water, while cooking. The nurse would ensure adequate calcium, vitamin C, and iron in the child's diet to minimize lead absorption.
Which postoperative nursing care would the nurse provide to a 3-week-old infant after surgery to repair a cleft lip?
Cleansing the suture line to prevent infection Meticulous care of the suture line is necessary to prevent infection and to help ensure the best cosmetic outcome. Using a spoon is contraindicated, because it could disrupt the suture line; the infant may be fed with a device designed especially for this purpose. Offering a pacifier is contraindicated, because sucking will put tension on the suture line and may result in disruption of the sutures. Elbow restraints are used; this allows the infant to move the arms without bending the elbows and thus prevents the infant from touching the face.
