Pediatric Nursing Demystified

(dillionhill2002) #1
Family teaching and support
Stress that cutting or shaving of hair is not needed to control spread of
lice in order to avoid unnecessary distress for the child.
Assist family to obtain financial support, as needed, for expensive pedi-
culicides or insecticides.
Support family by stressing that pediculosis is not a sign of poor sanitation.

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CHAPTER 4/ Head and Neck: Eyes, Ears, Nose, and Throat^67



  1. Explain why manual removal of the nits may be needed if shampoo does not kill all
    lice.
    Answer:

  2. A 17-year-old young man complains of jaw pain and has swollen glands with tenderness
    along the jaw on palpation. What additional actions would be appropriate?
    a. Provide a burger and fries to encourage the adolescent to eat.
    b. Instruct the adolescent and parent regarding the need for limited activity until the
    swelling subsides.
    c. Inform the parents and the child that immediate surgery is needed to remove the
    infected tissue and prevent sterility.
    d. Provide loose pajamas for comfort if signs of orchitis are present.
    Answer:


✔ ROUTINE CHECKUP 3


Conclusion


Conditions of the head and the neck present distinct challenges for the nurse
to prevent disruption of a child’s growth and development. Disruption in
vision secondary to disorders in eye structures or function could result in loss
of vision if treatment is delayed. These are the key points to remember:
An ocular malalignment, such as strabismus, and associated refractive
error can be detected with routine examination, and treatment by the
nurse with family follow-up can prevent vision loss.
Conjunctivitis can spread quickly among a group of children and to adults.
Teaching the client and family about proper hygiene is important to control
the spread of infection.
Otitis media is related to dysfunction of the eustachian tube and can be
aggravated by smoke and reflux of formula.
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