The school nurse completes an assessment of a 6-year-old child to determine the services this child will need in the classroom. The child needs respiratory support with oxygen
The child requires enteral tube feedings and intravenous medications during the school day. With these needs, the school nurse evaluates the child to be: 1. Developmentally delayed.
2. Mentally retarded.
3. Socially withdrawn.
4. Medically fragile
4
Rationale:
1. There is no behavioral evidence to support a finding that the child is developmentally delayed.
2. There is no evidence in the stem that suggests that this child is mentally retarded.
3. The child that is socially withdrawn does not need any special equipment in the classroom.
4. A child who is dependent on medical devices for survival or prevention of further disability is medically fragile. A child who is medically fragile is not necessarily developmentally delayed, mentally retarded, or socially withdrawn.
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An IV infusion pump is not available. When would the nurse use a macrodrip for the IV infusion?
A) Order specifies a large amount of fluid over a short time. B) A small amount of IV fluid is to be infused to a child. C) The IV infusion is to be administered over a long period. D) Microdrops per minute are too few to count accurately.
A patient has been diagnosed with Parkinson's disease (PD) and begins treatment with levodopa/carbidopa [Sinemet]. After several months of therapy, the patient reports no change in symptoms. The nurse will expect the provider to:
a. add a dopamine agonist. b. discuss the "on-off" phenomenon. c. increase the dose of Sinemet. d. re-evaluate the diagnosis.
The patient with acromegaly asks the purpose of the glucose tolerance test (GTT). The nurse responds by saying that:
1. "The doctor wants to know if you have either diabetes or acromegaly." 2. "The growth hormone will cause the glucose to be used up very quickly during the test." 3. "It measures the growth hormone in the presence of oral glucose levels at speci-fied times." 4. "It tells whether your thyroid reacts to the high levels of sugar taken during this test."
The nurse has been asked to join a group reviewing patient-focused functions in the hospital. Which situations would the nurse anticipate reviewing? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Number of cases reviewed by the ethics committee over the last year 2. How information is managed in the hospital 3. Processes used to identify patients at risk for infection after surgery 4. The hospital's hiring practices 5. Implementation of a new drug distribution system