A seasoned nurse is precepting a novice nurse on a pediatric oncology unit. The seasoned nurse would like to review the ongoing physiologic and psychosocial care of the children who survive cancer
Which topics will the seasoned nurse include in the discussion with the novice nurse?
1. Developing other cancers
2. Recommending regular office visits
3. Encouraging school-age clients to manage their own care
4. Needing weekly laboratory tests
5. Providing educational and psychosocial support
Correct Answer: 1,2,5
Rationale: Appropriate topics include discussing the increased risk for these children to develop other cancers; recommending regular office visits for monitoring purposes; and providing educational and psychosocial support. It would be appropriate to encourage the adolescent and young adult clients to manage their own care, not a school-age child. While these clients need regular laboratory examinations, weekly laboratory tests are not appropriate.
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The nurse instructs a woman about providing a clean-catch urine specimen. Which of the following statements indicates that the patient correctly understands the procedure?
a. "I will be sure to urinate into the ‘hat' you placed on the toilet seat." b. "I will wipe my genital area from front to back before I collect the specimen midstream." c. "I will need to lie still while you put in a urinary catheter to obtain the specimen." d. "I will collect my urine each time I urinate for the next 24 hours."
The nurse provides discharge instructions to a patient recovering from endoscopic sinus surgery. Which patient statements indicate that teaching has been effective?
Select all that apply. 1. "I need to sneeze with my mouth open." 2. "I should avoid heavy lifting for a week." 3. "I am to avoid blowing my nose for a week." 4. "I am to irrigate the sinuses with normal saline." 5. "The nasal packing will be removed in 2 days."
Nurse practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing 2. The U.S. Drug Enforcement Administration 3. The State Board of Nursing for each state 4. The State Board of Pharmacy
A 2-month-old presents to the pediatric clinic with a cough with crowing at the end, coryza, and vomiting. The diagnosis is whooping cough, and the child is taken immediately to the pediatric unit at the nearby hospital
The nurse explains the plan of care for the infant to the mother. The nurse should say: (Select all that apply.) 1. "Feedings will be small in an attempt to keep the infant from vomiting.". 2. "We will be watching how the infant breathes and will provide extra support if needed.". 3. "We plan to wake the infant every hour in order to assess and feed the infant to make sure that he/she is getting enough calories.". 4. "Cool mist humidification will be continuous to help keep the fever down.". 5. "An IV will be placed for antibiotics.".