A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?

A child who has a head injury

A child who is experiencing sickle cell crisis

A child who has streptococcal pharyngitis

A child who has a new diagnosis of type 1 diabetes mellitus

Answer and Explanation

The Correct Answer is D

A.   A child with a head injury may require close monitoring for neurological changes, which could involve frequent assessments and interventions. While not directly related to infection risk, the needs of this child may be different from those of a postoperative child, making this pairing less ideal due to differing care needs and potential disruptions.
B.   A child in sickle cell crisis is likely experiencing significant pain and requires specialized care for pain management and hydration. This condition is not contagious but can be complex and may require frequent interventions, making it less ideal to room with a postoperative patient who needs a controlled environment for recovery.
C.   Streptococcal pharyngitis is a contagious infection caused by Group A Streptococcus. To minimize the risk of postoperative infection, it is generally advisable to avoid placing a postoperative patient in the same room with someone who has a contagious infection. This would help in preventing the potential spread of infection to the postoperative child, who is already vulnerable.
D.   A child with a new diagnosis of type 1 diabetes mellitus requires education and management of blood glucose levels. This condition is not contagious and does not pose a risk of infection to a postoperative patient. Therefore, the needs of this child align well with the postoperative child, as both are managing chronic conditions rather than dealing with infections.

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Correct Answer is B

Explanation

A. An advanced beginner nurse is someone who has moved beyond the novice stage but still lacks the experience and confidence of an expert nurse. Precepting new staff members usually requires a higher level of expertise, so this choice is not the best fit for a preceptor role.
B. They possess a high level of intuition and can make complex decisions quickly based on a wealth of experience. Experts are often seen as leaders, mentors, and preceptors because they have the knowledge and skill to guide others effectively.
C. A proficient nurse is skilled and experienced but not at the expert level. While proficiency is important for precepting, being an expert is typically the most appropriate stage for someone responsible for teaching and guiding new staff members.

D. Competent nurses are competent at performing their job duties, but they may not have the level of expertise and experience required to effectively precept and mentor new staff members.

A. Expects staff to solve problems on their own B. Gives staff freedom to make decisions C. Strictly enforces rules to maintain compliance D. Uses rewards or punishments to encourage compliance E. is responsible for the decisions made by staff members

Correct Answer is ["A","B"]

Explanation

A. This is a characteristic of laissez-faire leaders. They tend to allow staff members to handle problems and make decisions independently without direct intervention or guidance. This style is characterized by minimal supervision and a high degree of autonomy for team members.
B. This is also a characteristic of laissez-faire leaders. By giving staff the freedom to make decisions, laissez-faire leaders empower their team members to take charge of their own work and decision- making processes. This approach is based on trust and a belief in the competence of the staff.
C. This is not a characteristic of laissez-faire leadership. Strict enforcement of rules is more aligned with a bureaucratic or authoritarian leadership style, where leaders impose and uphold strict guidelines and standards to ensure compliance. Laissez-faire leaders, in contrast, provide less oversight and are not focused on strict rule enforcement.
D. This is not a characteristic of laissez-faire leaders. Using rewards or punishments to encourage compliance is more characteristic of transactional leadership. Laissez-faire leaders typically avoid actively managing or intervening in the work of their staff, focusing instead on providing autonomy rather than using incentives or disciplinary actions to manage performance.
E. This is not a characteristic of laissez-faire leaders. While laissez-faire leaders give staff members the freedom to make decisions, they are often not involved in or responsible for the outcomes of those decisions. This leadership style involves delegating responsibility to team members and allowing them to manage their own work, which includes being accountable for their decisions.

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A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?

Nursing Test Bank

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Correct Answer is B

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Correct Answer is ["A","B"]

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