A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?
Deliver a breakfast tray to a child who has been administered regular insulin.
Complete pin site care for a child who is in skeletal traction.
Provide clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy.
Administer acetaminophen to a child who has a temperature of 101.2°F (38.4°C).
The Correct Answer is A
If a nurse is assisting with the care of a group of pediatric clients, the first action the nurse should take is to deliver a breakfast tray to a child who has been administered regular insulin. This is because regular insulin is a fast-acting insulin that begins to lower blood sugar levels within 15 minutes of administration. It is important for the child to eat shortly after receiving regular insulin to prevent hypoglycemia.
Option B is incorrect because completing pin site care for a child who is in skeletal traction is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Option C is incorrect because providing clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Option D is incorrect because administering acetaminophen to a child who has a temperature of 101.2°F (38.4°C) is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
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Related Questions
Correct Answer is C
Explanation
An incident report should be completed if a client has an episode of vomiting after receiving medication for hypertension. This is an unexpected event that may indicate an adverse reaction to the medication and requires documentation and follow-up.
Option A does not require an incident report as the client has the right to refuse treatment.
Option B also does not require an incident report as it is a routine request.
Option D may require immediate medical attention, but it does not necessarily require an incident report as it involves a family member rather than a client.
Correct Answer is B
Explanation
In this situation, the nurse is demonstrating the compromising style of conflict management. Compromising involves finding a middle ground where both parties give up something in order to reach a mutually acceptable solution. In this case, the nurse suggests that one AP can take a break now, but the other AP will get to take an early lunch. This solution allows both APs to have some of their needs met while also making concessions.
The other options are not the type of conflict management demonstrated by the nurse in this situation. Cooperating [a] involves one party giving in to the demands of the other party in order to maintain harmony. Competing [c] involves one party trying to win at the expense of the other party. Avoiding [d] involves avoiding or withdrawing from the conflict altogether.
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