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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.

A child who is experiencing sickle cell crisis

B.

A child who has a head injury

C.

A child who has a new diagnosis of type 1 diabetes mellitus

D.

A child who has streptococcal pharyngitis

Answer and Explanation

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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View Related questions

Correct Answer is C

Explanation

Rationale:

A. Informing the staff member of her appraisal time for that day prior to change-of-shift report is not ideal as it may disrupt the shift handover process.

B. Scheduling the appraisal interview as early in the shift as possible might not be feasible or considerate, especially if it impacts patient care or the staff member's workflow.

C. Providing the staff member with a copy of the appraisal form in advance is best practice as it allows the staff member to prepare for the discussion and address any concerns or achievements.

D. Providing a chair directly across the desk for the staff member to sit in is not as important as preparing the staff member by sharing the appraisal criteria in advance.

Correct Answer is C

Explanation

Rationale:

A. Inform the state medical board for an immediate investigation is not the initial step; concerns should first be reported to appropriate facility personnel.

B. Counsel the provider to determine the cause of the substance abuse is not the nurse’s role; this is a serious issue that requires reporting rather than counseling.

C. Notify the nursing supervisor of the concerns is the appropriate initial step to address the issue according to facility protocol.

D. Encourage clients to change to a different provider is not within the nurse’s scope of practice for handling the provider's behavior and does not address the root issue.

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