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Pediatrics Ch22

Assessment - Basic Data Collection & History Survey

QuestionAnswer
Why is data collection done To determine the level of wellness, response to medication or treatment, need for referral
Basic data collection involves ______ without ____ Casual observation – Touching
What will a child’s general appearance indicate If the child is seriously ill or within normal limits
When can serious illness generally be suspected Child is not alert and responsive to the environment
What LOC indicates a need for prompt intervention by a health care provider Lethargy
What will enable a nurse to determine if a child’s activities and behavior are age appropriate Knowledge of basic growth and development
What observations during basic data collection might indicate a need for a prompt follow-up care referral Different staged, healing bruises – lack of cleanliness – inappropriate dress – lack of interaction between aren’t and child
What behaviors by the child might indicate otitis media Tipping the head or Rubbing the ears
What posture might indicate difficulty breathing Rigid
What might rigid posture indicate Trouble breathing
What respiration related behavior indicates a need for prompt referral Stridor, Grunting
What does the personal history survey allow the nurse to do Teach parents about the child’s needs and prevention of injury and illness
When is a good time to teach the parent about the child’s needs and prevention of injury and illness During the personal history survey
What should the admission history include Information about the child’s usual health habits and practices regarding eating, sleeping, toileting, activity patterns, and use of special words or gestures
Where should the nurse be able to find information about the child’s usual health habits and practices regarding eating, sleeping, toileting, activity patterns, and use of special words or gestures In the admission history
What information is helpful for the nurse to have Information concerning coping patterns, siblings, and family values
What should contain information about CAM and OTC medications Every history data collection
What should every history data collection contain Information about CAM and OTC medications
What can the information contained in the various histories gathered be used for Formulating a nursing diagnosis in the plan of care for the individual child
What is reviewed and discussed when taking a personal history survey Immunization record and plans for future immunizations
What should be a part of every teaching plan Use of car seats and protective gear for sports activities
Created by: futurenurse
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