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 D
Explanation
Rationale:
A. Evaluate the results should occur after a resolution has been implemented, not at the initial stage.\
B. Brainstorm solutions is a subsequent step after identifying and understanding the problem.
C. Implement a resolution should be done after identifying and brainstorming possible solutions.
D. Identify the problem is the crucial first step in conflict resolution. Understanding the nature of the conflict between the pharmacy and the staff nurses is necessary before moving on to developing solutions or implementing changes.
Correct Answer is B
Explanation
Rationale:
A. Protective isolation could be managed by any qualified RN, LPN, or AP depending on the complexity.
B. A client actively dying and requiring IV pain medication needs specialized assessment and pain management, which is appropriate for an RN.
C. A client 3 days postoperative requires ongoing care that can be managed by an LPN with supervision.
D. Frequent ambulation is a task that can be managed by an AP, though supervision may be needed.