The school nurse cares for children who are injured or become ill in the schools. A plan should be in place in case of an emergency. Elements of this plan should include which of the following? Select all that apply
1. How to make arrangements to transfer children to the hospital via ambulance
2. Knowledge of the staff about standard precautions
3. Individual emergency plans for students with health problems
4. The role the children will play in treatment and triage of fellow classmates
1, 2, 3
The plan should not include the role the children will play in treatment and triage of fellow classmates.
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The nurse understands that the fluid and electrolyte balance are vital to normal body function. Electrolytes are important for: Standard Text: Select all that apply
1. Maintaining fluid balance 2. Contributing to acid base regulation 3. Facilitating enzyme reactions 4. Assisting neuromuscular reactions 5. Regulating serum concentration of protein
The nurse is documenting client care into the computerized clinical documentation system. Point-of-care computing and clinical decision support are:
a. part of the diagnostic-related group reimbursement system. b. a mechanism for obtaining direct reimbursement of nursing care. c. part of the systematized nomenclature of medicine. d. two ways nursing informatics is improving safety of client care.
The patient with a right-sided paralysis from a stroke becomes frustrated with attempting to self-feed. He throws the spoon at the nurse and begins to cry. What nursing actions would be best? (Select all that apply.)
a. Retrieve the spoon and sit quietly for a few seconds. b. Touch the patient and inquire if he would rather have a high-protein milkshake for his meal. c. Remind the patient that such behavior is not acceptable. d. Add an intervention to the NCP for in-creased support with self-feeding. e. Complete an incident report.
An expected outcome for a patient with the nursing diagnosis Imbalanced Nutrition: More Than Body Requirements would be
a. verbalization of factors contributing to excess weight b. loss of 4–5 pounds per week while eating well-balanced meals c. exercise at least 1 hour daily d. maintain current interests and activities