The weather report predicts a hurricane may be approaching the area where a child who is medically fragile lives
As a component of the family's disaster planning, the nurse will discuss which actions with the family? Standard Text: Select all that apply. 1. Providing the child's pediatrician with contact information of a health care provider in the area to which they will evacuate if that becomes necessary
2. Having sufficient medication available for at least one week
3. Having contact information for Emergency Medical Services so that they can transport the medically fragile child to the selected evacuation location
4. Admitting the child to the local hospital prior to the family evacuating the area
5. Riding out the hurricane at home; the child is too fragile to transport
1,2
Rationale 1: This would be appropriate. There are often several options for evacuation sites, so the parents can plan to reach a specific area.
Rationale 2: It is hard to refill medications when the family has temporarily located at a distance from their home pharmacy.
Rationale 3: The EMS will not be expected to provide transportation to the selected evacuation location. If the child cannot travel by family care, the parents will need to contract an ambulance service for transport.
Rationale 4: The best plan would be for the family to evacuate the child to a safe area. If the hurricane does hit the area, the hospital could be damaged or destroyed.
Rationale 5: Hurricanes can cause widespread damage, including long-term damage to water and electric infrastructures, which are required to care for the child who is medically fragile at home.
Global Rationale:
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Which client does the nurse recognize as being at greatest risk for pressure ulcers?
a. Infant with skin excoriations in the diaper region b. Young adult with diabetes in skeletal traction c. Middle-aged adult with quadriplegia d. Older adult requiring use of assistive device for ambulation
The client is unable to leave the house without turning off all electrical appliances at least three times. She must check every electrical socket and reassure herself that everything is unplugged before she leaves
Otherwise she experiences intense discomfort. The client's behavior is suggestive of 1. separation anxiety. 2. generalized anxiety. 3. overanxious disorder. 4. obsessive-compulsive disorder.
Obtaining height and weight measurements for the critically ill patient
a. should be deferred until the medical condition stabilizes. b. should be measured rather than obtained through patient or family report. c. requires consistent weights in pounds. d. requires weight, but height can be deferred.
Tosha is 2-and-a-half years old. Her mother asks you when it is safe to put Tosha in a car seat facing the front of the vehicle. You respond:
A) "When Tosha is able to sit up without assistance." B) "When she is 27 inches tall." C) "It is too dangerous to have the car seat facing forward." D) "Safety seats should never face forward unless there are safety locks."