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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A researcher focuses on conducting studies, gathering data, and contributing to the evidence base in healthcare. While researchers play a crucial role in advancing knowledge and improving practices, this role does not primarily involve organizing or coordinating the efforts of interprofessional team members for client care.
B. A care coordinator is responsible for organizing and managing the various aspects of a client's care across different healthcare professionals and services. This role involves ensuring that all team members work together efficiently to address the client’s needs, managing transitions of care, and facilitating communication among team members. In this context, the nurse who is organizing interprofessional team members to meet the needs of a client is performing the role of a care coordinator.
C. A counselor provides support, guidance, and therapeutic interventions to clients and their families. This role involves helping clients cope with emotional, psychological, or social issues. While important in client care, it is not primarily focused on organizing and coordinating the contributions of different professionals.
D. An educator is responsible for teaching clients, families, or healthcare staff about various aspects of health, illness, and care management. This role involves providing information and instruction but does not specifically include the task of organizing and coordinating the efforts of an interprofessional team.
Correct Answer is D
Explanation
A. Assessment involves collecting and analyzing data about the client's health status, including their medical history, physical examination findings, and any other relevant information. This step is crucial for understanding the client's current condition and needs, but it precedes goal setting.
B. Evaluation is the step where the nurse determines whether the goals and outcomes established in the planning phase have been achieved. It involves assessing the effectiveness of interventions and making adjustments as needed. Evaluation occurs after goals have been set and interventions have been implemented, so it is not the step where goals are initially formulated.
C. Implementation involves carrying out the interventions and actions planned to achieve the goals established for the client. This step follows the formulation of goals and involves executing the planned care. While critical to achieving positive outcomes, implementation does not include the initial formulation of goals.
D. Planning is the step of the nursing process where the nurse formulates goals and develops a plan of care based on the assessment data. This includes setting specific, measurable, achievable, relevant, and time-bound (SMART) goals to guide the care provided and achieve positive client outcomes. Planning is where goals are established to address the client’s identified needs and guide subsequent interventions.
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