The nurse is caring for a 10-year-old boy with a neuroblastoma. Which of the following activities best describe the role of the nurse as a care coordinator, collaborator, and consultant? Select all answers that apply
A) Collaborating with the family throughout the care path
B) Advancing the interests of children and their families by knowing their needs
C) Informing children and families of their rights and options
D) Coordinating care provided by the interdisciplinary team
E) Ensuring that the child's and family's needs are met through activities such as support groups
F) Providing appropriate nursing care based on the child's developmental level
A, D, E
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A 90-year-old nursing home patient is admitted to the critical care unit with a severe case of pneumonia. No living will or designation of healthcare surrogate is noted on the chart
In the event this patient needs intubation and/or cardiopulmonary resuscitation, what should be the nurse's action? a. Activate the code team, but initiate a "slow" code. b. Call the nursing home to determine the patient's or family's wishes. c. Code the patient for 5 minutes and then cease efforts. d. Initiate intubation and/or cardiopulmonary resuscitation efforts.
A nurse is assessing the client with external otitis. Which of the following supports a worsening of the condition?
A. The client has pain when the tragus is pressed. B. The client states that hearing is difficult with the packing in place. C. The drainage through the earwick has decreased in volume. D. The auricular lymph nodes have increased in size during the past 24 hours.
A client on corticosteroid therapy is returning from surgery after a hip replacement. In the past two hours his blood pressure has decreased from 126/76 to 104/60, he is restless and complains of a headache. The nurse should:
a. medicate the client for pain as prescribed. b. notify the health care provider immediately. c. Increase his current intravenous fluid rate from 125 mL/hr to 150 mL/hr. d. Monitor his blood pressure and position him for comfort.
Which statement regarding clinical reasoning and judgment is true?
1. These skills are being adequately taught in nursing curriculums. 2. Both of these skills are dependent upon the context of the situation. 3. These two terms mean the same thing. 4. These two skills are primarily used in emergency situations.