The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to:
1. Diagnose a six-year-old with diversional activity deficit related to placement in isolation.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery.
3. Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic.
4. Provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options.
3
Rationale 1: Nursing diagnoses are a responsibility of the nurse in an acute care unit.
Rationale 2: Listening to concerns is within the expectations of a nurse in an acute care unit.
Rationale 3: Advanced practice nurse practitioners perform assessment, diagnosis, and management of health conditions. The role of the pediatric nurse includes providing nursing assessment, direct nursing care interventions, client and family education at developmentally appropriate levels, client advocacy, case management, minimization of distress, and enhancement of coping.
Rationale 4: Providing information about support groups is within the expectations of the nurse in an acute care unit.
Global Rationale:
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When comparing the practices of industrial and occupational health nurses, it is noted that:
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The nurse is educating a patient with a peripheral intravenous infusion of dextrose 5%. What is the most important information to share with the patient who has an IV infusing in the right hand?
A) Keep the IV fluids 18 inches above the extremity B) Caution the patient not to bend the right wrist C) Instruct on ambulating with an IV pole D) Instruct the patient on fluid volume excess