An adolescent comes to the clinic because of a concern with a skin lesion, and is accompanied by a parent. When the adolescent is called back to the exam room, the parent comes with the adolescent
What approach by the nurse would be most appropriate? 1. Allow the parent to come into the exam room with the adolescent.
2. Tell the parent she cannot come into the exam room with the adolescent.
3. Instruct the parent to stay in the waiting room and the adolescent will give her a report on the exam.
4. Reassure the parent that you will talk with her about any of her concerns and questions.
4
Rationale:
1. The adolescent chooses when the parent comes into the room.
2. The adolescent decides when the parent comes into the room.
3. The adolescent makes the decision about the parent's presence and whether to report the exam to her.
4. If someone comes with the adolescent, be alert that you might need to provide some private time by asking the other person to wait outside for a moment. Reassure the parent that you will talk with her about any of her concerns and questions, and provide her with an opportunity to ask questions and get information as well.
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The nurse enters the patient's room as the ventilator alarms. When the nurse quickly assesses the patient, it is apparent that the patient is coughing against the ventilator. The most appropriate action for the nurse would be to
1. administer intravenous sedation. 2. silence the ventilator alarm and try to calm the patient. 3. manually bag the patient until the cause of the alarm is detected. 4. assess for presence of secretions and suction the patient.
The parish nurse is often involved in selected activities related to the functions of parish nursing and these often serve as a starting point for practice. These include:
1. Volunteering in public health departments without pay 2. Sharing the joys of a new member of the family, as well as sharing sorrows and losses 3. Making policies for the parish 4. Substituting for the clergyman in the event of illness
A nurse was given the following data about the children attending school in two area communities
School Asthmatic Children Number of Children in School Number of Persons in Community Centerville Elementary 25 1000 15,000 Centertown Suburban Elementary 25 1000 15,000 Centerville Junior High 35 1500 15,000 Two Oaks Elementary 5 200 5000 Two Oaks Junior High 10 300 5000 Totals: 100 4000 55,000 What is the rate of asthma in the school-age population? a. 5:1000 b. 25:1000 c. 100:20,000 d. 400:2000
Which statement indicates K.B. understands the discharge instructions?
a. "I will take this medication on a full stomach." b. "If I get a sore throat, ice chips should help me feel better." c. "I should see an improvement in my symptoms by tomorrow." d. "I will follow the precautions for 2 weeks to keep my family safe."