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 C
Explanation
A. The "right person" refers to ensuring that the task is delegated to an individual who has the appropriate skills, knowledge, and training for the task. While important, this does not directly address the ongoing monitoring of task completion.
B. The "right communication" involves providing clear, concise instructions about the task, including what needs to be done, how it should be done, and any specific expectations. Although communication is essential for effective delegation, checking in throughout the shift pertains more to the oversight and monitoring of the task.
C. The "right supervision" involves providing appropriate oversight and monitoring of the tasks delegated. This includes checking on the progress and ensuring that the tasks are being completed as expected. When the nurse checks with assistive personnel throughout the shift to determine if tasks are being completed, they are demonstrating the "right supervision."
D. The "right circumstances" involves ensuring that the situation is appropriate for delegating the task, including the conditions and context in which the task is performed. This right addresses the appropriateness of the delegation based on the current environment and patient needs, but it does not specifically relate to monitoring or following up on task completion.
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