A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?
A child who is experiencing sickle cell crisis
A child who has a head injury
A child who has a new diagnosis of type 1 diabetes mellitus
A child who has streptococcal pharyngitis
The Correct Answer is C
Rationale:
A. A child who is experiencing sickle cell crisis may require isolation to prevent infection and avoid complications related to sickle cell disease.
B. A child who has a head injury may require specific monitoring and precautions that are not suitable for a postoperative appendectomy patient.
C. A child who has a new diagnosis of type 1 diabetes mellitus generally has a stable condition that can be managed with routine care and would be an appropriate roommate for a postoperative appendectomy patient.
D. A child who has streptococcal pharyngitis could pose an infection risk to the postoperative appendectomy patient and is better kept separate to prevent the spread of infection.
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Correct Answer is B
Explanation
Rationale:
A. Measuring I&O can be performed by an AP, as it does not require advanced skills or clinical judgment.
B. Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.
C. Developing a plan of care is generally a responsibility of the RN, as it involves comprehensive assessment and planning.
D. Completing an admission assessment is a task for RNs due to its complexity and the need for a detailed clinical evaluation.
Correct Answer is A
Explanation
Rationale:
A. Nuclear family refers to a family unit consisting of two parents and their children. This definition matches the description provided by the parents.
B. Intergenerational family includes multiple generations living together or having frequent contact, which is not the case here.
C. Blended family involves parents who have remarried and may include children from previous relationships, which does not apply here.
D. Extended family includes additional relatives beyond the nuclear family, such as grandparents, aunts, or uncles, which is not the case in this scenario.