A school-age child is admitted to the hospital with a fractured femur and head trauma. The child was not wearing a helmet while riding a new bicycle on the highway, and collided with a car
Which nursing diagnoses should the nurse include in the plan of care with regard to the child's parents? Select all that apply. 1. Compromised Family Coping related to the critical injury of the child
2. Parental Role Conflict related to child's injuries and pediatric intensive care unit (PICU) policies
3. Guilt related to lack of child supervision and safety precautions
4. Knowledge Deficit related to home care of fractured femur
5. Anger related to feelings of helplessness
1, 2, 3, 5
Explanation:
1. This diagnosis is appropriate for the child's parents in this situation.
2. This diagnosis is appropriate for the child's parents in this situation.
3. This diagnosis is appropriate for the child's parents in this situation.
4. The diagnosis of knowledge deficit is not possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced nurse is prepared to recognize current problems and intervene appropriately.
5. This diagnosis is appropriate for the child's parents in this situation.
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A high school student calls to ask the nurse for advice on how to care for a new navel piercing. How should the nurse respond?
1. "Avoid contact with another person's bodily fluids until the area is well healed." 2. "Do not move or turn the jewelry for the first three days." 3. "Apply lotion to the area, rubbing gently, to prevent skin from becoming dry and irritated." 4. "Apply warm soaks to the area for the first two days to minimize swelling."
After a pain assessment, the nurse promptly administers an ordered analgesic because:
a. the physician has ordered it. b. it is an efficient use of time. c. unrelieved pain can cause setbacks. d. it meets the goals of the nursing care plan.
The patient is scheduled to begin treatment with the disease-modifying antirheumatic drug methotrexate. In order to avoid a life-threatening adverse effect of the drug, the patient should receive a frequent assessment of:
a. Heart rate b. Breath sounds c. Bowel sounds d. Mental status
The plan of care serves as the structural framework for
a. maintaining confidentiality. b. attaining self-actualization. c. maintaining therapeutic communication. d. providing safe, high-quality care.