A child who has had a tracheostomy for several years is scheduled to begin kindergarten in the fall. The teacher is concerned about this child being in the class, and consults the school nurse. Which nursing action is appropriate?

1. Making arrangements for the child to go to a special school
2. Recommending that the child be home schooled
3. Asking the parents of the child to provide a caregiver during school hour
4. Teaching the teacher how to care for the child in the classroom


4
Explanation
1. Laws have been implemented to ensure that children with disabilities will receive a free education.
2. Laws have been implemented to ensure that all children with disabilities will receive a free education. While the parents may wish to home school their child, it is not appropriate for the nurse to recommend this to the parents.
3. Since the child has had a tracheostomy for several years, the child might need a little extra attention while in the school setting. If needed, a health aide may be assigned to the child, but this is not the responsibility of the parents.
4. Since the child has had a tracheostomy for several years, the child might need a little extra attention while in the school setting. The teacher should be taught how to care for the child, if needed, and taught the signs of distress.

Nursing

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