Which of the following is included in the most accurate description of school nursing?
A) This is one community health setting where the role is static.
B) The primary role of school nurses is clinician.
C) The practice of school nurses is widening.
D) School nurses rarely act as advocates.
Ans: C
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Which assessment finding would cause extubation to be delayed?
A mechanically ventilated child is being assessed for extubation. A. Alert and oriented with occasional confusion B. Evidence that prior pulmonary infection has resolved C. Peak inspiratory ventilator pressure of 14 cm H2O D. 3+ pitting pedal edema, 1-lb weight gain overnight
A nurse practitioner is assessing a 7-year-old boy who has been brought to the clinic by his mother, who is concerned about her son's increasingly frequent, severe headaches
Which of the nurse's following questions is least likely to yield data that will allow for a confirmation or ruling out of migraines as the cause of his problem? A) "Does your son have a family history of migraines?" B) "When your son has a headache, does he ever have nausea and vomiting as well?" C) "Does your son have any food allergies that have been identified?" D) "Is your son generally pain free during the intervals between headaches?"
A client is admitted with purpura and blood in the urine and stool. The nurse reviews the ordered blood work and suspects that the client might be experiencing:
1. An increased red blood cell count. 2. Decreased monocytes. 3. Increased eosinophils. 4. Decreased platelets.
The nurse writes in the client's progress notes: "3/5/year 10 AM. Client brought to unit by ER nurse
Client's clothing and body are dirty. In interview room, client sat with hands over face, sobbing softly. Did not acknowledge nurse and did not reply to questions. After several minutes abruptly arose and ran to window and pounded window screen, shouting, ‘Let me out of here!' repeatedly. Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol po obtained. Medication administered with result that client stopped shouting and returned to sit wordlessly in chair. Client placed on one-to-one observation until seen by psychiatrist.". How should this documentation be evaluated? a. Meets agency standards b. Contains subjective material c. Too brief to be of value d. Excessively wordy