MSN 5550 HEALTH PROMOTION: PREVENTION OF DISEASE CASE
STUDY MODULE 10 : PRESCHOOL CHILD: RICKY RICKY, AGE 4
YEARS, ARRIVES IN THE CLINIC WITH HIS MOTHER.
The nurse assesses a 2-hour old newborn. The nurse notes the newborn's hands and feet are
bluish in color. To which reason does the nurse attribute this finding?
1. A lack of adjustment to environmental temperature.
2. Poor perfusion of blood to the periphery of the body.
3. A lowered oxygen tension.
4. A low hemoglobin level. - (answers)1) Acrocyanosis is not related to the environmental
temperature.
2) CORRECT - Acrocyanosis is a bluish color of hands and feet of the newborn. This is an
expected finding and is caused by sluggish peripheral circulation.
3) Newborns have an elevated oxygen tension level.
4) Newborns have an elevated hemoglobin level level.
The nurse teaches the client about preventing recurrent urinary tract infections. Which statement
by the client indicates to the nurse that teaching is effective? (Select all that apply.)
1. "I should bathe in the tub rather than shower."
2. "Coffee and alcohol are good for my bladder."
还是指某个特定的词或概
3. "Vitamin C will help by acidifying念？
my urine."
4. "I should void every couple of hours during the day."
5. "I should wipe back to front after urinating." - (answers)1) INCORRECT— The client should
shower rather than bathe in a tub because bacteria in bathwater may enter the urethra.
, 2) INCORRECT— The client should avoid coffee and alcohol as they are known urinary tract
irritants.
3) CORRECT— Vitamin C (ascorbic acid) 1000 mg daily, or cranberry juice, may help prevent
recurrent urinary tract infections by acidifying the urine.
4) CORRECT— Voiding frequently prevents over distention of the bladder and compromised
blood supply to the bladder wall.
5) INCORRECT— The client should clean the urethral meatus and perineum front to back after
a bowel movement or after urination to avoid transmitting fecal bacteria to the urethra.
The nurse provides care for a 7-year-old client during a wellness examination. Which factor in
the child's history alerts the nurse that hyperlipidemia screening is necessary?
1. Maternal history of obesity.
2. Paternal history of diabetes mellitus.
3. Sibling history of stroke.
4. Grandparent history of hypertension. - (answers)1) Hyperlipidemia screening is warranted in
this age group if the child, not the mother, has a history of obesity.
2) Hyperlipidemia screening is recommended if the child in this age group has diabetes mellitus,
not a parent.
3) CORRECT—If the child has a sibling with a history of stroke, screening for hyperlipidemia is
recommended in children ages 2 to 8 years.
4) Hyperlipidemia screening is recommended for a child diagnosed with hypertension. It is not
warranted if the child's grandparents have a history of hypertension.
还是指某个特定的词或概
The nurse develops a teaching brochure about vision screening. Which statement is appropriate
念？
for the nurse to include in the brochure?
1. Children should have their eyes tested using the Snellen chart when they reach 2 years of age.
2. Adults age 65 and older should have the eyes examined every 5 years.
STUDY MODULE 10 : PRESCHOOL CHILD: RICKY RICKY, AGE 4
YEARS, ARRIVES IN THE CLINIC WITH HIS MOTHER.
The nurse assesses a 2-hour old newborn. The nurse notes the newborn's hands and feet are
bluish in color. To which reason does the nurse attribute this finding?
1. A lack of adjustment to environmental temperature.
2. Poor perfusion of blood to the periphery of the body.
3. A lowered oxygen tension.
4. A low hemoglobin level. - (answers)1) Acrocyanosis is not related to the environmental
temperature.
2) CORRECT - Acrocyanosis is a bluish color of hands and feet of the newborn. This is an
expected finding and is caused by sluggish peripheral circulation.
3) Newborns have an elevated oxygen tension level.
4) Newborns have an elevated hemoglobin level level.
The nurse teaches the client about preventing recurrent urinary tract infections. Which statement
by the client indicates to the nurse that teaching is effective? (Select all that apply.)
1. "I should bathe in the tub rather than shower."
2. "Coffee and alcohol are good for my bladder."
还是指某个特定的词或概
3. "Vitamin C will help by acidifying念？
my urine."
4. "I should void every couple of hours during the day."
5. "I should wipe back to front after urinating." - (answers)1) INCORRECT— The client should
shower rather than bathe in a tub because bacteria in bathwater may enter the urethra.
, 2) INCORRECT— The client should avoid coffee and alcohol as they are known urinary tract
irritants.
3) CORRECT— Vitamin C (ascorbic acid) 1000 mg daily, or cranberry juice, may help prevent
recurrent urinary tract infections by acidifying the urine.
4) CORRECT— Voiding frequently prevents over distention of the bladder and compromised
blood supply to the bladder wall.
5) INCORRECT— The client should clean the urethral meatus and perineum front to back after
a bowel movement or after urination to avoid transmitting fecal bacteria to the urethra.
The nurse provides care for a 7-year-old client during a wellness examination. Which factor in
the child's history alerts the nurse that hyperlipidemia screening is necessary?
1. Maternal history of obesity.
2. Paternal history of diabetes mellitus.
3. Sibling history of stroke.
4. Grandparent history of hypertension. - (answers)1) Hyperlipidemia screening is warranted in
this age group if the child, not the mother, has a history of obesity.
2) Hyperlipidemia screening is recommended if the child in this age group has diabetes mellitus,
not a parent.
3) CORRECT—If the child has a sibling with a history of stroke, screening for hyperlipidemia is
recommended in children ages 2 to 8 years.
4) Hyperlipidemia screening is recommended for a child diagnosed with hypertension. It is not
warranted if the child's grandparents have a history of hypertension.
还是指某个特定的词或概
The nurse develops a teaching brochure about vision screening. Which statement is appropriate
念？
for the nurse to include in the brochure?
1. Children should have their eyes tested using the Snellen chart when they reach 2 years of age.
2. Adults age 65 and older should have the eyes examined every 5 years.
