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Pediatrics Ch22
Assessment - Basic Data Collection & History Survey
Question | Answer |
---|---|
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 |