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. Eating 60% of breakfast is generally not a significant concern regarding the administration of antihypertensive medication. However, if the client had a significantly reduced intake or other issues, it might warrant attention, but 60% of a meal typically does not.
B. This finding is significant and indicates that further assessment is necessary before administering antihypertensive medication. Dizziness, especially when related to ambulation, could be a sign of hypotension or an adverse effect of antihypertensive medication.
C. Trouble sleeping can be related to various factors, including stress, side effects of medication, or underlying health conditions. While it is important to consider the client’s overall well-being, this finding does not immediately indicate a need for further assessment before administering antihypertensive medication.
D. Urine output of 400 mL over 8 hours indicates a urine output of 50 mL per hour, which is within the normal range for adults. This finding is unlikely to require further assessment specifically in relation to the administration of antihypertensive medication.

A. Intrapersonal B. Transpersonal C. Public D. Interpersonal

Correct Answer is D

Explanation

A. This involves self-talk or inner dialogue. It's communication with oneself.
B. This refers to communication that occurs within a person's spirit. It often involves a connection to something larger than oneself, such as spirituality or religion.
C. This type of communication involves speaking to a large group of people.
D. This is communication between two or more people.

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

Correct Answer is B

Explanation

A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse voices his concern to the charge nurse. The nurse is using which level of communication at this time?

Correct Answer is D

Explanation

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