1. Which client should the charge nurse on the pediatric unit assign to the most experienced
nurse?
1. The 4-year-old child diagnosed with hemophilia receiving factor VIII.
2. The 8-year-old child with headaches who i
...
1. Which client should the charge nurse on the pediatric unit assign to the most experienced
nurse?
1. The 4-year-old child diagnosed with hemophilia receiving factor VIII.
2. The 8-year-old child with headaches who is scheduled for a CT scan.
3. The 6-year-old child recovering from a sickle cell crisis.
4. The 11-year-old child newly diagnosed with rheumatoid arthritis. - Answer>>> 1-The
administration of blood products does not require the most experienced nurse.
2-Preparing a child for a routine procedure does not require the most experienced nurse.
3-The child recovering from a sickle cell crisis would not require the most experienced nurse.
**4-The child newly diagnosed with a chronic disease, which will have acute exacerba- tions,
requires extensive teaching; there- fore, the most experienced nurse should be assigned to this
child and family.
2. The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the
assessment, the nurse expects that this patient:
A) will have no decrease in any of his abilities, including response time.
B) will have difficulty on tests of remote memory because this typically decreases with age.
C) may take a little longer to respond, but his general knowledge and abilities should not have
declined.
D) will have had a decrease in his response time because of language loss and a decrease in
general knowledge. - Answer>>> C) may take a little longer to respond, but his general
knowledge and abilities should not have declined.
Page: 72. The aging process leaves the parameters of mental status mostly intact. There is no
decrease in general knowledge and little or no loss in vocabulary. Response time is slower than
in youth. It takes a bit longer for the brain to process information and to react to it. Recent
memory, which requires some processing is somewhat decreased with aging, but remote memory
is not affected.
3. The school nurse has referred an 8-year-old student for further evaluation of vision. The single
mother has told the school nurse she does not have the money for the eval- uation or glasses.
Which action by the nurse would be an example of client advocacy? 1. Tell the mother the child
cannot read the board.
2. Refer the mother to a local service organization. 3. Ask the mother if the family is on
Medicaid.
4. Loan the mother money for the examination. - Answer>>> 1.Although this may be the case,
this is not client advocacy, and doing so may make the mother feel guilty about not being able to
afford glasses for her child.
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