As the new school year begins, the school nurse evaluates several children to determine their healthcare needs. Which child would the nurse consider to be medically fragile?
1. The child with a casted right arm due to a fracture
2. The child who wears hearing aids due to hearing loss secondary to meningitis as an infant
3. The child requiring oxygen and tube feedings secondary to a congenital heart defect
4. The child with a developmental delay
3
Rationale 1: This is a temporary issue and does not constitute a significant health issue.
Rationale 2: This is a normal healthy skin with a sensory deficit, not a significant health issue.
Rationale 3: This child has current medical issues which require continued monitoring and care. This child would be considered medically fragile.
Rationale 4: This child may need special support in the classroom but is not considered medically fragile.
Global Rationale:
You might also like to view...
The nurse would measure vital signs more frequently than every 4 hours for which of the following clients?
1. The client with a diagnosis of terminal cancer admitted for palliative care 2. The client who is 6 days postoperative and is to be discharged tomorrow 3. The client admitted as an outpatient for 12 hours while receiving a blood transfusion 4. The client who is 36 hours postoperative and stable
A patient requires a pacemaker that will pace his atria, sense electrical activity in his atria, and inhibit the response to sensed events. Which mode of pacemaker would he need?
A) ADD B) VVI C) AAI D) VDD
During the state inspection of a skilled nursing facility, a surveyor notes suspicion that a particular nurse may not be providing the proper standard of care. The nurse manager informs the nurse to expect
a. a review of the situation by the state board of nursing. b. termination of employment from the facil-ity. c. mandatory remediation related to the sus-pect care issues. d. unannounced reevaluation of performance within the next 3 months.
A client has orders for the administration of IV fluid at a "keep vein open" rate in preparation for administration of IV antibiotics starting at noon. When the nurse goes to the room to start the IV, the UAP is preparing to bathe the client
What should the nurse do? 1. Instruct the UAP to wait until the IV is started to bathe the client. 2. Let the UAP start the bath on the opposite side of where the nurse will be starting the IV. 3. Tell the UAP to notify the nurse as soon as the bath is completed. 4. Give the UAP permission to skip the client's bath for today.