The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?
Grandparents
Admitting provider
Parents
Medical record
The Correct Answer is C
A. Grandparents: While grandparents can provide valuable information, parents are typically the primary source of information about a child’s medical history, current symptoms, and behavioral changes.
B. Admitting provider: The admitting provider's role is to assess and diagnose the client. While they provide essential clinical information, they are not the primary source for personal and historical data about the client.
C. Parents: Parents are the most reliable source of information regarding the toddler's medical history, current condition, and any changes in behavior or health. They are most familiar with the child’s day-to-day health and medical background.
D. Medical record: Although the medical record contains important information, it may not have the most recent updates or contextual details that parents can provide. It is important to corroborate the information in the medical record with input from the parents.
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Related Questions
Correct Answer is D
Explanation
A. 214: Although this is a negative-pressure room, it is semi-private, which is not ideal for clients with suspected tuberculosis or similar conditions requiring isolation due to airborne transmission.
B. 212: This is a positive-pressure room, which is not suitable for clients with suspected airborne infections, as it could potentially spread the infection to other areas.
C. 216: This is a private, positive-pressure airflow room, which is not appropriate for the client with suspected airborne infection due to potential cross-contamination risks.
D. 208: This is a private, negative-pressure airflow room, which is ideal for clients with suspected airborne infections, such as tuberculosis. Negative-pressure rooms prevent the spread of airborne pathogens to other areas.
Correct Answer is D
Explanation
A. Involves respiratory therapy for altered breathing from severe anxiety levels: This behavior demonstrates collaboration with other healthcare professionals but does not directly relate to a team approach for managing mobility issues.
B. Delegates assessment of lung sounds to nursing assistive personnel: Delegation of tasks such as assessing lung sounds is a nursing responsibility but does not involve the broader team approach necessary for comprehensive care.
C. Becomes solely responsible for modifying activities of daily living: Handling all aspects of a patient's care individually does not reflect a team approach, which involves collaborating with various specialists.
D. Consults physical therapy for strengthening exercises in the extremities: This behavior exemplifies a team approach by involving physical therapy specialists to address mobility issues. It reflects collaboration with other disciplines to provide comprehensive care.
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