A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child's recovery
Which information tool would be most useful in answering a parent's questions about timing of key events? 1. Healthy People 2020
2. National clinical practice guidelines
3. Child mortality statistics
4. Critical clinical pathways
4
Rationale 1: Healthy People 2020 contains objectives set by the U.S. government to improve the health and reduce the incidence of death in the twenty-first century.
Rationale 2: National clinical practice guidelines promote uniformity in care for specific disease conditions by suggesting expected outcomes from specific interventions.
Rationale 3: Child mortality statistics can be compared with those from other decades for the evaluation of achievement toward health care goals.
Rationale 4: Critical clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal sequencing and timing of events and interventions for specific diseases to improve efficiency of care and enhance recovery. These pathways serve as models outlining the typical hospital stay for individuals with specified conditions.
Global Rationale:
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While the nurse is admitting a pediatric patient, the mother blurts out, "I think this hospital is the most disorganized, inefficient place I have ever been in!" The most therapeutic response for the nurse to make would be:
1. "This hospital and its staff are extremely competent, and you are receiving the best possible care." 2. "Does your child have any allergies or take any medication routinely?" 3. "It happens to be very busy right now, and there are children much sicker than your child who need to be cared for first." 4. "It sounds like you are upset with the care your child has received. Is that correct?"
The nursing practice standards for the LPN/LVN wishing to be able to participate in initiating IV therapy state that the LPN/LVN shall:
1. Successfully pass the National Council Licensure Exam. 2. Graduate from an accredited school of nursing. 3. Present evidence of having completed a course that is approved to provide the skills and knowledge necessary to perform this specialized task. 4. Seek and participate in continuing education opportunities.
A patient presents to the ED stating she was in a boating accident about 3 hours ago. Now the patient has complaints of headache, fatigue, and the feeling that he "just can't breathe enough."
The nurse notes that the patient is restless and tachycardic with an elevated blood pressure. This patient may be in the early stages of what respiratory problem? A) Pneumoconiosis B) Pleural effusion C) Acute respiratory failure D) Pneumonia
The nurse preparing to administer cyclosporine to a client should:
a. administer oral preparation undiluted. b. assess the client's mouth and gums. c. administer IV cyclosporine over one hour. d. monitor for febrile reactions after second dose.