A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperative

Nursing interventions for the newborn with hydrocephalus include: Preventing injury. At least every 2 to 4 hours, monitor the newborn’s level of consciousness; check the pupils for equality and reaction; monitor the neurologic status, and observe for a shrill cry, lethargy, or irritability; measure and record the head circumference daily, and keep suction and oxygen equipment convenient at the bedside. After receiving reports from the nightshift, which child should the nurse assess first? 1. A 6-year-old child being treated for bacterial meningitis and on the 10th day of antibiotic treatment 2. A 6-week-old infant admitted to the hospital for decreased level of consciousness; shaken baby syndrome is suspected 3. Which of the following is immediate postoperative care for an infant diagnosed with hydrocephalus who had a shunt placed? 1. Wet-to-dry dressing changes at both the shunt insertion site and the abdominal incision site. 2. Inform the parents they will have to measure the child’s head at least once a day. 3.

Outrigger canoes

Kicker component speakers

  • The focus of this chapter is the physical assessment and findings that the perinatal nurse may observe during the time the newborn is in the hospital or birthing center. Home care nurses may also find the information pertinent during early postpartum home visits.
  • This module focuses on assessment of the newborn infant. The assessment begins at birth and is done periodically by the nurse during the next two to four days. This eLearning module will describe assessment techniques and normal variations in newborn appearance. After the infant is born, your initial assessment is quick and will occur at the ...
  • Care and management of the child with shunted hydrocephalus. ... A case study of an infant with hydrocephalus illustrates key concepts. ... A proper nursing assessment includes valid ...
  • Which of the following forms of feeding should the the nurse anticipate for the infant 6 hr after the procedure? Small, frequent bottle feedings of electrolyte solution A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea.
  • [Nursing of a child with hydrocephalus who underwent repeated hospitalization due to malfunction of the shunt tube following a period of home nursing]. [Article in Japanese] Sato E, Hosokawa T.
  • 2. Hydrocephalus commonly occurs in infants with myelomeningocele. If hydrocephalus occurs, a shunt will be inserted. 3. Children with myelomeningocele are at high risk for developing latex allergy. 4. The Spina Bifida Nurse Practitioner will coordinate the care of the infant and arrange for discharge follow-up. Assessment/Nursing Interventions ... Nursing Assessment Guideline Evidence table. Routine Post Anaesthetic Observation Guideline Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Stacey Richards, Nursing Research, CNC, and approved by the Nursing Clinical Effectiveness Committee. Updated November 2019.
  • Jul 04, 2017 · Hydrocephalus 1. SEMINAR ON HYDROCEPHALUS Presented by, MR. Yogesh Dengale MSc Nursing CON LONI. 2. INTRODUCTION The term hydrocephalus is derived from the Greek words "hydro" meaning water and "cephalus" meaning head. As the name implies, it is a condition in

Which of the following forms of feeding should the the nurse anticipate for the infant 6 hr after the procedure? Small, frequent bottle feedings of electrolyte solution A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Nursing Assessment Guideline Evidence table. Routine Post Anaesthetic Observation Guideline Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Stacey Richards, Nursing Research, CNC, and approved by the Nursing Clinical Effectiveness Committee. Updated November 2019.

autism spectrum disorder. Instruction nurse should include: reward system reviewing clients rights. Which ethical principle? autonomy mag 2.5 initiate cardiac monitoring school age cystic fibrosis; high frequency compression vest- small amount of mucus discharge teaching for client to get home oxygen therapy? wear clothing made with cotton left side weakness following stroke support arm with … Nursing Assessment Guideline Evidence table. Routine Post Anaesthetic Observation Guideline Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Stacey Richards, Nursing Research, CNC, and approved by the Nursing Clinical Effectiveness Committee. Updated November 2019.

Conversely, in an otherwise clinically stable patient, it may not be appropriate to wake a sleeping child to assess the level of consciousness, with every set of observations (e.g an infant with bronchiolitis who is on hourly observations for ongoing evaluation of respiratory distress and has just settled to sleep).

Apr 10, 2019 · Nursing care planning goals for clients with spina bifida include prevent infection, maintain skin integrity, prevent trauma related to disuse, increase family coping skills, education about the condition, and support. Here are seven (7) nursing care plans (NCP) and nursing diagnosis (NDx) for spina bifida: Impaired Urinary Elimination.

Nurse is assessing at an older client who has delirium what is expected Fluctuating level of consciousness Client who has impaired vision is discharged home, safety measures to prevent injury Nursing Assessment Guideline Evidence table. Routine Post Anaesthetic Observation Guideline Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Stacey Richards, Nursing Research, CNC, and approved by the Nursing Clinical Effectiveness Committee. Updated November 2019. .

[Nursing of a child with hydrocephalus who underwent repeated hospitalization due to malfunction of the shunt tube following a period of home nursing]. [Article in Japanese] Sato E, Hosokawa T. Newborn infants with spina bifida (myelomeningocele type) are at risk for hydrocephalus; therefore, the head circumference should be measured to obtain a baseline. Options A, B, and C are incorrect because pulse rate will not be affected with this disorder, the specific gravity can indicate hydration status but it is not priority at this time ... Apr 10, 2019 · Nursing care planning goals for clients with spina bifida include prevent infection, maintain skin integrity, prevent trauma related to disuse, increase family coping skills, education about the condition, and support. Here are seven (7) nursing care plans (NCP) and nursing diagnosis (NDx) for spina bifida: Impaired Urinary Elimination. Knowledge on various aspects of caring for a child with a VP shunt will enable new and experienced nurses to better care for these infants and equip parents for ongoing care at home. Purpose: To review the nurses' role in care of infants with hydrocephalus, care after VP shunt placement, prevention of complications, and parental preparation for ...

A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time? a. Crushed ice 35. A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours.

also limited in infants with a lower mean arterial blood pressure of 20 – 60 mm of Hg. Though cranial com-partment in infants can expand owing to open cranial sutures and fontanel, this enlargement has an upper limit beyond which intracranial pressure begins to increase. Increase in ICP in infants lead to symptoms like vomit-

2. Hydrocephalus commonly occurs in infants with myelomeningocele. If hydrocephalus occurs, a shunt will be inserted. 3. Children with myelomeningocele are at high risk for developing latex allergy. 4. The Spina Bifida Nurse Practitioner will coordinate the care of the infant and arrange for discharge follow-up. Assessment/Nursing Interventions ...

Which indicates the client has a detached retina Floating dark spots infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to report to provider Irritability when being held. signifies increased ICP Assessing a newborn heart rate follow actions the nurse should take Auscultate the apical pulse and count beats for at least 1 min. Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool Insert a lubricated ... Nursing Assessment Guideline Evidence table. Routine Post Anaesthetic Observation Guideline Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Stacey Richards, Nursing Research, CNC, and approved by the Nursing Clinical Effectiveness Committee. Updated November 2019.

Contact your care team immediately if you or your child has these symptoms. Antibiotics may be needed to treat the infection and, in some cases, surgery may be required to replace the shunt. Shunt alert cards. The hydrocephalus and spina bifida charity Shine has produced a series of shunt alert cards for adults and children. You carry the card ... A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. The client has been vomiting for the past 24 hr and reports a pain level of 8 on a scale from 0 to 10. The nurse notes a hard, distended abdomen and absent bowel sounds. After conferring with the provider, which of the following actions should the nurse take ... A nurse in a provider’s office is assessing an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication?

A nurse is caring for a child with bronchiolitis. Assessment findings indicate wheezing, oxygen saturation of 100%, respiratory rate of 40/min, and a heart rate of 92/min. The child is receiving oxygen at 2 LPM. An order is written to wean oxygen maintaining oxygen saturation 95% or greater. Contact your care team immediately if you or your child has these symptoms. Antibiotics may be needed to treat the infection and, in some cases, surgery may be required to replace the shunt. Shunt alert cards. The hydrocephalus and spina bifida charity Shine has produced a series of shunt alert cards for adults and children. You carry the card ...

Nurse caring infant with hydrocephalus and is 6 hours post-insertion following (VP) Ventriculoperitoneal shunt. Which finding should nurse report to MD? drainage neg glucose, irritability when being held, hypotonic bowel sounds, urine specific gravity 1.018? After receiving reports from the nightshift, which child should the nurse assess first? 1. A 6-year-old child being treated for bacterial meningitis and on the 10th day of antibiotic treatment 2. A 6-week-old infant admitted to the hospital for decreased level of consciousness; shaken baby syndrome is suspected 3. A nurse in a provider's office is assess an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication? When an ICP monitor has been inserted in the operating theatre, upon admission to the recovery room or return to the PICU, NICU or Cockatoo ward, it is imperative that the patient be monitored closely with routine post anaesthetic observations as per operation notes and neurological assessment. See Routine Post Anesthetic Observations Clinical ...

Jabber phone button template

Los angeles population 2019

  • A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration? Tachypnea Contact your care team immediately if you or your child has these symptoms. Antibiotics may be needed to treat the infection and, in some cases, surgery may be required to replace the shunt. Shunt alert cards. The hydrocephalus and spina bifida charity Shine has produced a series of shunt alert cards for adults and children. You carry the card ... The nurse receives a phone call from the parents of a 9-year-old female who is complaining of a headache and blurry vision. The child has been healthy but has a history of hydrocephalus and received a ventriculoperitoneal shunt at the age of 1 month.
  • Care and management of the child with shunted hydrocephalus. ... A case study of an infant with hydrocephalus illustrates key concepts. ... A proper nursing assessment includes valid ... Description Postoperative care involves assessment, diagnosis, planning, intervention, and outcome evaluation. The extent of postoperative care required depends on the individual's pre-surgical health status, type of surgery, and whether the surgery was performed in a day-surgery setting or in the hospital. A nurse in a provider's office is assess an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication?
  • A nurse in a provider's office is assess an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication?
  • Nursing interventions for the newborn with hydrocephalus include: Preventing injury. At least every 2 to 4 hours, monitor the newborn’s level of consciousness; check the pupils for equality and reaction; monitor the neurologic status, and observe for a shrill cry, lethargy, or irritability; measure and record the head circumference daily, and keep suction and oxygen equipment convenient at the bedside. .
  • Jul 04, 2017 · Hydrocephalus 1. SEMINAR ON HYDROCEPHALUS Presented by, MR. Yogesh Dengale MSc Nursing CON LONI. 2. INTRODUCTION The term hydrocephalus is derived from the Greek words "hydro" meaning water and "cephalus" meaning head. As the name implies, it is a condition in After receiving reports from the nightshift, which child should the nurse assess first? 1. A 6-year-old child being treated for bacterial meningitis and on the 10th day of antibiotic treatment 2. A 6-week-old infant admitted to the hospital for decreased level of consciousness; shaken baby syndrome is suspected 3. When an ICP monitor has been inserted in the operating theatre, upon admission to the recovery room or return to the PICU, NICU or Cockatoo ward, it is imperative that the patient be monitored closely with routine post anaesthetic observations as per operation notes and neurological assessment. See Routine Post Anesthetic Observations Clinical ... At home fetal doppler
  • When an ICP monitor has been inserted in the operating theatre, upon admission to the recovery room or return to the PICU, NICU or Cockatoo ward, it is imperative that the patient be monitored closely with routine post anaesthetic observations as per operation notes and neurological assessment. See Routine Post Anesthetic Observations Clinical ... The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse expects to note which characteristic of this type of posturing? 1. Flaccid paralysis of all extremities 2. Adduction of the arms at the shoulders 3. Nursing Assessment Guideline Evidence table. Routine Post Anaesthetic Observation Guideline Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Stacey Richards, Nursing Research, CNC, and approved by the Nursing Clinical Effectiveness Committee. Updated November 2019.
  • The nurse receives a phone call from the parents of a 9-year-old female who is complaining of a headache and blurry vision. The child has been healthy but has a history of hydrocephalus and received a ventriculoperitoneal shunt at the age of 1 month. . 

Series y pelis 21

Knowledge on various aspects of caring for a child with a VP shunt will enable new and experienced nurses to better care for these infants and equip parents for ongoing care at home. Purpose: To review the nurses' role in care of infants with hydrocephalus, care after VP shunt placement, prevention of complications, and parental preparation for ... Nursing Assessment Guideline Evidence table. Routine Post Anaesthetic Observation Guideline Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Stacey Richards, Nursing Research, CNC, and approved by the Nursing Clinical Effectiveness Committee. Updated November 2019.

A nurse in a provider's office is assess an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication? After receiving reports from the nightshift, which child should the nurse assess first? 1. A 6-year-old child being treated for bacterial meningitis and on the 10th day of antibiotic treatment 2. A 6-week-old infant admitted to the hospital for decreased level of consciousness; shaken baby syndrome is suspected 3.

Hyundai computer reset

Which of the following forms of feeding should the the nurse anticipate for the infant 6 hr after the procedure? Small, frequent bottle feedings of electrolyte solution A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse expects to note which characteristic of this type of posturing? 1. Flaccid paralysis of all extremities 2. Adduction of the arms at the shoulders 3. Unformatted text preview: Assessment: RN Nursing Care of Children Online Practice 2016 A A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Which of the following actions should the nurse include in the plan? 2. Hydrocephalus commonly occurs in infants with myelomeningocele. If hydrocephalus occurs, a shunt will be inserted. 3. Children with myelomeningocele are at high risk for developing latex allergy. 4. The Spina Bifida Nurse Practitioner will coordinate the care of the infant and arrange for discharge follow-up. Assessment/Nursing Interventions ...

Apr 10, 2019 · Nursing care planning goals for clients with spina bifida include prevent infection, maintain skin integrity, prevent trauma related to disuse, increase family coping skills, education about the condition, and support. Here are seven (7) nursing care plans (NCP) and nursing diagnosis (NDx) for spina bifida: Impaired Urinary Elimination.

Apr 10, 2019 · The nursing goals for a client with hydrocephalus may include improving cerebral tissue perfusion, reducing anxiety, preventing injury, and the absence of complications. Here are five (5) nursing care plans (NCP) and nursing diagnosis (NDx) for hydrocephalus: Ineffective Cerebral Tissue Perfusion. Anxiety.

After receiving reports from the nightshift, which child should the nurse assess first? 1. A 6-year-old child being treated for bacterial meningitis and on the 10th day of antibiotic treatment 2. A 6-week-old infant admitted to the hospital for decreased level of consciousness; shaken baby syndrome is suspected 3.

Missouri credentialing board mars

  • Graco spray tips near me
  • How to show folders in outlook for mac
  • Typhon greek mythology

Apr 10, 2019 · The nursing goals for a client with hydrocephalus may include improving cerebral tissue perfusion, reducing anxiety, preventing injury, and the absence of complications. Here are five (5) nursing care plans (NCP) and nursing diagnosis (NDx) for hydrocephalus: Ineffective Cerebral Tissue Perfusion. Anxiety. autism spectrum disorder. Instruction nurse should include: reward system reviewing clients rights. Which ethical principle? autonomy mag 2.5 initiate cardiac monitoring school age cystic fibrosis; high frequency compression vest- small amount of mucus discharge teaching for client to get home oxygen therapy? wear clothing made with cotton left side weakness following stroke support arm with …

In vivo assessment of hydrocephalus shunt. ... An age younger than 40 weeks gestation at the time of the first shunt implantation carried a hazard ratio (HR) of 2.49 (95% confidence interval [CI ...

Jul 04, 2017 · Hydrocephalus 1. SEMINAR ON HYDROCEPHALUS Presented by, MR. Yogesh Dengale MSc Nursing CON LONI. 2. INTRODUCTION The term hydrocephalus is derived from the Greek words "hydro" meaning water and "cephalus" meaning head. As the name implies, it is a condition in When an ICP monitor has been inserted in the operating theatre, upon admission to the recovery room or return to the PICU, NICU or Cockatoo ward, it is imperative that the patient be monitored closely with routine post anaesthetic observations as per operation notes and neurological assessment. See Routine Post Anesthetic Observations Clinical ...

.

What nursing action will the nurse implement after feeding an infant with hydrocephalus? Leave the infant in a side-lying position. The nurse is caring for a child who has had a ventriculoperitoneal shunt (VP) for hydrocephalus and observes an increasing abdominal girth.

A nurse is caring for a school-aged child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan of care? Provide small, frequent meals.

  • 2. Hydrocephalus commonly occurs in infants with myelomeningocele. If hydrocephalus occurs, a shunt will be inserted. 3. Children with myelomeningocele are at high risk for developing latex allergy. 4. The Spina Bifida Nurse Practitioner will coordinate the care of the infant and arrange for discharge follow-up. Assessment/Nursing Interventions ...
  • The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. When inspecting the client's dressing, the nurse notes puffiness of the tissue around the surgical site. When the nurse palpates the site, the tissue feels spongy, and crackles can be felt. How does the nurse describe this assessment finding? 1. In vivo assessment of hydrocephalus shunt. ... An age younger than 40 weeks gestation at the time of the first shunt implantation carried a hazard ratio (HR) of 2.49 (95% confidence interval [CI ...
  • checkup. During the assessment, the nurse measures the head circumference of the child and notes that there has been a rapid increase in size. What action should the nurse take next? You selected: Assess for signs of increased intracranial pressure. After receiving reports from the nightshift, which child should the nurse assess first? 1. A 6-year-old child being treated for bacterial meningitis and on the 10th day of antibiotic treatment 2. A 6-week-old infant admitted to the hospital for decreased level of consciousness; shaken baby syndrome is suspected 3.
  • A nurse in a provider's office is assess an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication?
  • A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration? Tachypnea

Nurse caring infant with hydrocephalus and is 6 hours post-insertion following (VP) Ventriculoperitoneal shunt. Which finding should nurse report to MD? drainage neg glucose, irritability when being held, hypotonic bowel sounds, urine specific gravity 1.018? .

Your account has been temporarily locked. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in 30 mins. For immediate assistance, contact Customer Service: 800-638-3030 (within USA), 301-223-2300 (international) [email protected] autism spectrum disorder. Instruction nurse should include: reward system reviewing clients rights. Which ethical principle? autonomy mag 2.5 initiate cardiac monitoring school age cystic fibrosis; high frequency compression vest- small amount of mucus discharge teaching for client to get home oxygen therapy? wear clothing made with cotton left side weakness following stroke support arm with …

Unformatted text preview: Assessment: RN Nursing Care of Children Online Practice 2016 A A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Which of the following actions should the nurse include in the plan?

|

99 miata megasquirt

Nurse is assessing at an older client who has delirium what is expected Fluctuating level of consciousness Client who has impaired vision is discharged home, safety measures to prevent injury Newborn infants with spina bifida (myelomeningocele type) are at risk for hydrocephalus; therefore, the head circumference should be measured to obtain a baseline. Options A, B, and C are incorrect because pulse rate will not be affected with this disorder, the specific gravity can indicate hydration status but it is not priority at this time ... A nurse in a provider’s office is assessing an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication? A nurse is caring for an infant who has been prescribed a one-time dose of Ceftriaxone 50mg/kg IM. The infant weighs 17.6 lb. Available is 500 mg/mL. How many mL should the nurse administer?

In vivo assessment of hydrocephalus shunt. ... An age younger than 40 weeks gestation at the time of the first shunt implantation carried a hazard ratio (HR) of 2.49 (95% confidence interval [CI ... Which indicates the client has a detached retina Floating dark spots infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to report to provider Irritability when being held. signifies increased ICP Assessing a newborn heart rate follow actions the nurse should take Auscultate the apical pulse and count beats for at least 1 min. Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool Insert a lubricated ... Nursing Assessment Guideline Evidence table. Routine Post Anaesthetic Observation Guideline Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Stacey Richards, Nursing Research, CNC, and approved by the Nursing Clinical Effectiveness Committee. Updated November 2019. Contact your care team immediately if you or your child has these symptoms. Antibiotics may be needed to treat the infection and, in some cases, surgery may be required to replace the shunt. Shunt alert cards. The hydrocephalus and spina bifida charity Shine has produced a series of shunt alert cards for adults and children. You carry the card ...

Rlcraft enchantments

Ooze duplex wax atomizer

Google calendar api send notifications

Rpgmvp image extractor
Apr 10, 2019 · Nursing care planning goals for clients with spina bifida include prevent infection, maintain skin integrity, prevent trauma related to disuse, increase family coping skills, education about the condition, and support. Here are seven (7) nursing care plans (NCP) and nursing diagnosis (NDx) for spina bifida: Impaired Urinary Elimination.
Led banner
420 seeds promo code

Ncr r6 manual
My merrill lynch secure login

Smite junglers tier list
Bulk eva foam

Sekhmet pronunciation

Event id 6008 windows 7 64 bit

June 2019 sat pdf

(child with hydrocephalus has a heavy head on a small body with poor muscle tone) The nurse observes that the infant's anterior fontanelle is bulging after placement of a vetriculoperitoneal shunt. The nurse positions this infant: A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time? a. Crushed ice 35. A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours.

The different types of hydrocephalus (fluid on the brain) can be diagnosed with brain scans. Congenital hydrocephalus. In some cases, an ultrasound scan can detect congenital hydrocephalus before your baby is born. An ultrasound scan uses high-frequency sound waves to create an image of your womb and the baby inside. A nurse in a provider’s office is assessing an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication? .