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Child Health Nursing 3rd Edition Ball Bindler Cowen Test Bank

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Child Health Nursing 3rd Edition Ball Bindler Cowen Test Bank

ISBN-13: 978-0132840071

ISBN-10: 0132840073

 

Description

Child Health Nursing 3rd Edition Ball Bindler Cowen Test Bank

ISBN-13: 978-0132840071

ISBN-10: 0132840073

 

 

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Free Nursing Test Questions:

Ball, Child Health Nursing, 3/E
Chapter 14

Question 1

Type: MCSA

Prior to accepting an assignment as a home health nurse, the nurse must realize that:

  1. The family will adapt their lifestyle to the needs of the nurse.
  2. The family is in charge.
  3. Independent decisions regarding emergency care of the child will be made by the nurse.
  4. All decisions will be made by the healthcare provider.

Correct Answer: 2

Rationale 1: The nurse must be flexible and adaptable to the lifestyle of the family, not the other way around.

Rationale 2: The home health nurse must realize that the family is in charge.

Rationale 3: The family must provide informed consent for emergency care.

Rationale 4: All decisions will be made by the family, not by the healthcare provider.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2

 

Question 2

Type: MCMA

A majority of pediatric health care occurs in community-based settings. Community-based health care settings include:

Standard Text: Select all that apply.

  1. The local community hospital.
  2. Outpatient surgical facilities.
  3. The public health clinic.
  4. An inpatient mental health center.
  5. A pediatrician’s office

Correct Answer: 2,3,5

Rationale 1: The hospital is not a community-based setting.

Rationale 2: Outpatient day surgery centers are community-based healthcare settings.

Rationale 3: The public health clinic is a community-based healthcare setting.

Rationale 4: An inpatient mental health center is a hospital-based program and is not considered a community-based program.

Rationale 5: A pediatrician’s office would be a community-based healthcare setting.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 14-1

 

Question 3

Type: MCSA

A pediatric nurse has accepted a position in a pediatric office. What nursing functions would the nurse expect to perform in this setting?

  1. Performing minor surgical procedures
  2. Providing medical care to chronically ill children
  3. Planning hospital admissions
  4. Identifying children in need of urgent care or isolation

Correct Answer: 4

Rationale 1: Nurses do not perform minor surgical procedures, regardless of location.

Rationale 2: The nurse would provide nursing care, not medical care, to chronically ill children.

Rationale 3: Children seen at the clinic who need to be admitted to the hospital will be admitted under the physician’s care. The nurse may transmit medical orders from the physician but is not responsible for planning hospital admissions.

Rationale 4: The nursing process is used when providing care for children who are seen in the pediatrician’s office. Specific functions of the pediatric nurse in this setting include identifying children in need of urgent care or isolation.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2

 

Question 4

Type: MCSA

A child is being discharged after an extended hospitalization. Prior to discharge from a hospital, home health care nurses should assess which aspect of the home setting?

  1. Parents’ insurance
  2. Parents’ income
  3. Readiness of the home for the child who is returning home from the hospital
  4. Parents’ home location

Correct Answer: 3

Rationale 1: The nurse would not assess the parents’ insurance. Social workers might assist the parents in this area.

Rationale 2: The nurse would not assess the income of the parents. Social workers might assist in this arena.

Rationale 3: When working with the hospital discharge planner to initiate home health care services, the nurse should assess the home readiness (safe sleeping arrangements, adequate supplies, ability to meet nutritional and fluid needs, telephone access, heat, electricity, refrigeration, lack of communicable disease in the home, and safe access in and out of the home).

Rationale 4: The home location is assessed only insofar as determining whether heat, electricity, water, and the necessary services are available in the location.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2

 

Question 5

Type: MCSA

A 16-year-old client has a long leg cast secondary to a fractured tibia. The child will require a wheelchair for mobility. To effectively facilitate the adolescent’s return to school, the school nurse should:

  1. Meet with all of the other students prior to the student’s return to school to emphasize the special needs of the injured teen.
  2. Meet with teachers and administrators at the school to discuss modifications in the student’s school routine.
  3. Develop an individualized health plan (IHP) focusing on long-term needs of the adolescent.
  4. Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.

Correct Answer: 2

Rationale 1: It is not necessary to meet all of the students to discuss the adolescent’s needs.

Rationale 2: Plans must be made to modify the school routine for the student. The adolescent will be unable to participate in some classes, such as physical education and some vocational classes.

Rationale 3: While an IHP might be developed, short-term needs would be the focus.

Rationale 4: There is no reason to encourage the child to stay at home for school if he is ready to return.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2

 

Question 6

Type: MCSA

The community health nurse is planning an education session for recently hired teachers at a childcare center. It is most important that the nurse teach the staff:

  1. The schedule for immunizations.
  2. How to interpret health records.
  3. Principles of infection control.
  4. How to take a temperature.

Correct Answer: 3

Rationale 1: The schedule of immunizations is important for childcare administrators to know, but it is not most important for teachers to know this information.

Rationale 2: Although it is important for childcare administrators to be able to interpret health records to ensure compliance with state regulations, teachers do not necessarily need to know this information.

Rationale 3: While all of the information is nice to know, it is most essential that teachers know principles of infection control to decrease the spread of germs that can cause disease in young children.

Rationale 4: It is important for the childcare teacher to know how to take a temperature, but infection control is the priority for discussion.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2

 

Question 7

Type: MCSA

Prior to her return to school, an individualized health plan (IHP) will be developed for the child who has:

  1. Missed two weeks of school due to mononucleosis.
  2. Been newly diagnosed with insulin-dependent diabetes mellitus.
  3. Recently developed a penicillin allergy.
  4. Been treated for head lice.

Correct Answer: 2

Rationale 1: While a child who has missed two weeks of school will need to make arrangements for makeup work, an IHP is not needed.

Rationale 2: An IHP that ensures appropriate management of the child’s health care needs must be developed for a child newly diagnosed with a chronic illness such as diabetes.

Rationale 3: A child who is allergic to penicillin will not receive this medication any longer and therefore should not encounter any problems related to it at school.

Rationale 4: A child who has been treated for head lice can return to school and does not need an IHP.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-2

 

Question 8

Type: MCSA

A child with a history of asthma presents to the school nurse complaining of wheezing. The nurse assesses the child and notes that the respiratory rate is 36 and expiratory wheezes are heard throughout the lung field. The child’s oxygen saturation is 98%. Which is the best initial action by the nurse?

  1. Call the child’s parents to come pick up the child.
  2. Have the child use his metered-dose inhaler.
  3. Call 911 to request emergency medical assistance.
  4. Have the child lie down to see if the symptoms subside.

Correct Answer: 2

Rationale 1: Parents may be notified if the child does not feel well, but initial action.

Rationale 2: A child with a history of asthma might have episodes of wheezing that can be controlled by prompt use of the child’s rescue inhaler. An inhaler should be readily available in the school setting for a child previously diagnosed with asthma. This should be tried first.

Rationale 3: Emergency personnel should be notified if the inhaler does not provide relief and the child develops respiratory distress.

Rationale 4: Having the child lie down likely will worsen his condition.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 14-2

 

Question 9

Type: MCSA

The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. Which is the nurse’s priority action?

  1. Advise the parent to hang up and call 911.
  2. Reassure the parent and provide instructions on home care for the child.
  3. Instruct the parent to make an appointment for the child to see the health care provider.
  4. Obtain the history of the illness from the parent.

Correct Answer: 1

Rationale 1: The nurse should immediately recognize the symptoms of severe upper respiratory distress and advise the parent to call 911. Crowing is heard when there is severe narrowing of the airway.

Rationale 2: Home care is not appropriate, as a crowing sound at rest with a change in the level of consciousness makes this an emergency situation; the nurse should instruct the parent to call 911.

Rationale 3: Making an appointment would be appropriate in non-emergency situations.

Rationale 4: Obtaining the history is appropriate only after the child has received emergency treatment to control the airway.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 14-2

 

Question 10

Type: MCSA

The number of serious injuries of children in a community has doubled in the past year. Based on this information, the most appropriate nursing diagnosis for the community would be:

  1. Altered Family Processes related to hospitalization of an injured child.
  2. Noncompliance related to inappropriate use of child safety seats.
  3. Injury, risk for related to inadequate use of bicycle helmets.
  4. Knowledge, Deficit injury prevention in children.

Correct Answer: 4

Rationale 1: Based on the doubled injury rate, the most appropriate nursing diagnosis addresses the reason behind the increase in serious injuries, not the hospitalizations that occur afterward.

Rationale 2: There is insufficient information to identify causes of the injury ratesRemember, assuming non-compliance would be inappropriate.

Rationale 3: There is insufficient information to support this diagnosis.

Rationale 4: Knowledge Deficit is the only diagnosis that is general to the problem as a whole, as there is insufficient information regarding the nature of the injuries and possible causes; this is therefore the most appropriate community nursing diagnosis.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 14-4

 

Question 11

Type: MCSA

A child who is medically fragile is being discharged home after a long hospital stay. The child will require someone to provide medical treatments several times a day. In planning discharge, the nurse will:

  1. Train all members of the family to take part in the child’s care.
  2. Plan for a home health nurse to visit the child four times a day to provide the medical treatment.
  3. Determine with the family which family members may be trained to provide care for the child.
  4. Evaluate the size of the child’s room for therapy.

Correct Answer: 3

Rationale 1: Training all members to participate in the care of the child might be inappropriate based each member’s age, abilities, and developmental stage.

Rationale 2: It is impractical to expect a home health nurse to visit more than once a day. The nurse should determine if family members can be trained to provide the needed care.

Rationale 3: Not all members of the family will be able or willing to provide care. One parent, both parents, or members of the extended family may be the best option for home care.

Rationale 4: The size of the child’s room has no bearing on the child’s care as given by the family members.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-4

 

Question 12

Type: MCSA

As the new school year begins, the school nurse evaluates several children to determine their healthcare needs. Which child would the nurse consider to be medically fragile?

  1. The child with a casted right arm due to a fracture
  2. The child who wears hearing aids due to hearing loss secondary to meningitis as an infant
  3. The child requiring oxygen and tube feedings secondary to a congenital heart defect
  4. The child with a developmental delay

Correct Answer: 3

Rationale 1: This is a temporary issue and does not constitute a significant health issue.

Rationale 2: This is a normal healthy skin with a sensory deficit, not a significant health issue.

Rationale 3: This child has current medical issues which require continued monitoring and care. This child would be considered medically fragile.

Rationale 4: This child may need special support in the classroom but is not considered medically fragile.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 14-6

 

Question 13

Type: MCSA

An important goal for pediatric nurses in the office or healthcare setting is:

  1. Develop a positive relationship with the child and family.
  2. Develop a plan of care with the physician for the family.
  3. Tell the family immediately what’s wrong with the child.
  4. Tell the family “Everything will be okay.”

Correct Answer: 1

Rationale 1: An important goal for nurses in the office or healthcare setting is to develop a positive partnership with the child and family so that optimal health care is provided. The relationship with the family grows over the months and years of providing care to the child and family.

Rationale 2: The nurse does not develop a plan for medical care, with or without the physician.

Rationale 3: The nurse might not be able to tell the family what is wrong with the child.

Rationale 4: rapeutic communication, as the nurse cannot guarantee that “everything will be okay.”

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 14-4

 

Question 14

Type: MCSA

The pediatric nurse works at a camp for children with diabetes. As a component of the job, the camp nurse works:

  1. Directly under the supervision of the camp doctor.
  2. With standard protocols to guide nursing interventions.
  3. As an emergency medical technician.
  4. Only in emergency situations.

Correct Answer: 2

Rationale 1: Camps typically have a medical director who has developed set protocols for nursing care but is not directly involved in the day-to-day care of the children.

Rationale 2: Nurses typically work with set protocols determined by the camp medical director.

Rationale 3: The camp nurse will work as a nurse and provide more care than that available from an EMT.

Rationale 4: In addition to emergency interventions, the camp nurse will monitor the day-to-day health of the campers and may provide health education.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 14-2

 

Question 15

Type: MCSA

A major goal of home health care nurses working with families is:

  1. Maximizing the dependency of the child on the family.
  2. Curing the chronic illness of the child.
  3. Prescribing and administering medication needed by the child.
  4. Promoting or restoring the child’s health.

Correct Answer: 4

Rationale 1: The home health care nurse encourages children to learn to function as independently as possible.

Rationale 2: The nurse’s role in home health care is to provide nursing care for the child, not to cure the child’s chronic illness.

Rationale 3: The nurse might assist in medication administration for the child but would not prescribe the needed medication.

Rationale 4: A major goal of working with families in the home health care setting includes promoting or restoring the child’s health while attempting to minimize the effects of the disability and illness, including terminal illness.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-4

 

Question 16

Type: MCSA

A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home health nurse discusses development of an emergency plan of care with the family. Which is the most essential part of the plan?

  1. Provision for an alternate heating source if power is lost
  2. Notifying the power company that the child is on life support
  3. Designation of an emergency shelter site
  4. Acquisition of a backup generator

Correct Answer: 4

Rationale 1: A secondary heat source is secondary to acquiring alternative power for the ventilator.

Rationale 2: Notifying the power company is secondary to acquiring alternative power for the ventilator.

Rationale 3: This designation might be necessary should power remain off for an extended period, but it is more important for the family to obtain a backup generator.

Rationale 4: Prior to discharge to home, it is essential that the family acquire a generator so that the child’s life support will continue to function effectively should power be lost. While all other actions are very important, it is most essential that the ventilator has power to continue to function at all times.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-6

 

Question 17

Type: MCSA

Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?

  1. Lists of hospitals in the area that treat children
  2. Staff education related to assessment and treatment of children of all ages
  3. Placement of small stretchers in emergency vehicles
  4. Size-appropriate equipment and supplies

Correct Answer: 2

Rationale 1: Having lists of hospitals that treat children is important, but providing education for EMS providers is more indicative of preparedness.

Rationale 2: The aspect most indicative that EMS providers are actually prepared to take care of children is evidence of education related to assessment and emergency treatment of children.

Rationale 3: The stretcher size would not necessarily change to transport a child; the addition of car seat might be more indicative of preparedness.

Rationale 4: Size-appropriate equipment for children is an essential part of an EMS system, but it is less important than knowing how to use the equipment and assess children.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 14-6

 

Question 18

Type: MCSA

Which of the following should be considered in disaster preparedness for children with special needs?

  1. Current medical information should be maintained only by the child’s health care provider.
  2. Only one family member should be trained to provide the needed care for the sake of consistency.
  3. The utility company needs advance notification when a child is technology-assisted to provide emergency power.
  4. Minimal supply of medication, equipment, and supplies should be maintained.

Correct Answer: 3

Rationale 1: In case of a disaster, the child’s health care provider may not be accessible. It is important for the family as well as community agencies to have medical information about children with special needs.

Rationale 2: Each family member who has the ability and willingness to learn should be trained to provide the needed care should something happen to incapacitate the primary caregiver.

Rationale 3: Planning is important when a family has a child with a chronic health condition or one who is technology-assisted. The utility company needs advance notification when a child is technology-assisted to provide emergency power as quickly as possible.

Rationale 4: Several days’ worth of medications and supplies should be maintained at all times.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-6

 

Question 19

Type: MCSA

The nurse has recommended respite care for the family of a two-year-old child who is medically fragile. The mother asks what respite can do for them. The nurse’s response will be based on the knowledge that:

  1. Respite care will admit the child for an evaluation of the child’s medical condition.
  2. Respite care gives the family a break from the daily demands of caring for a child who is medically fragile.
  3. Respite care can provide support for the child during local disasters.
  4. Respite care will admit the child and family to their facility and provide the whole family a vacation experience.

Correct Answer: 2

Rationale 1: The purpose of respite care is not to evaluate the child’s medical condition.

Rationale 2: Respite care includes admission to a facility that will care for the child for a short period of time, allowing family members a chance to recoup their energy and strength.

Rationale 3: This would not be the purpose of respite care.

Rationale 4: Only the child who is medically fragile would be admitted to the respite unit.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 14-1

 

Question 20

Type: MCSA

While working in a pediatrician’s office, the nurse frequently steps into the waiting room to speak quickly with the families and children waiting their turn. This allows her the opportunity to observe the children and their families. Based on her observations, which child should the nurse move to the examining room next?

  1. The child with a flushed face and rash that is visible on all exposed skin
  2. The four–month-old infant who has come for immunizations
  3. The child holding his ear and crying
  4. The adolescent holding his swollen hand and complaining of pain

Correct Answer: 1

Rationale 1: The flushed face could indicate a fever. The rash may be related to a communicable disease. It is important that this child not expose other childrenRemember, this child should be moved to the examination room to reduce exposure.

Rationale 2: This child can wait until called to the examining room.

Rationale 3: This child probably has an ear infection and can wait until called to the examining room.

Rationale 4: This child may have a break or a sprain but can wait until called to the examination room.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 14-5

 

Question 21

Type: MCMA

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

Correct Answer: 1,2

Rationale 1: This would be appropriate. There are often several options for evacuation sitesRemember, 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:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 14-6

 

Question 22

Type: MCMA

The nurse working in a pediatric clinic will have many duties. Included in the nurse’s responsibilities will be:

Standard Text: Select all that apply.

  1. Prescribing over-the-counter medications.
  2. Collecting health history information.
  3. Performing diagnostic tests, such as the TB skin test.
  4. Performing developmental screening tests.
  5. Administering immunizations.

Correct Answer: 2,3,4,5

Rationale 1: This is a medical function. Nurses cannot prescribe any medication, even over-the-counter medications.

Rationale 2: The nurse will begin the visit with an assessment that includes the health history.

Rationale 3: Nurses will perform some diagnostic tests in the office.

Rationale 4: The nurse may perform the Denver Developmental Screening Test.

Rationale 5: Nurses will administer immunizations and other medications prescribed by the physician.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 14-2

 

Question 23

Type: MCMA

The nurse is applying for a job as a pediatric telephone advisor. Skills the nurse should have to be effective in this position would include:

Standard Text: Select all that apply.

  1. Good listening skills.
  2. Extensive pediatric experience.
  3. Internet experience.
  4. Psychiatric experience.
  5. Teaching and verbal communication skills

Correct Answer: 1,2,5

Rationale 1: Because the nurse will need to assess situations totally by what is said, the nurse must be a good listener.

Rationale 2: The nurse will need to use both assessment and implementation skills to be successful.

Rationale 3: The nurse may want to search for information on the internet, but the majority of information to be shared will be based on protocols provided by the medical directors of the company.

Rationale 4: Although communication will be of prime importance, the nurse will not need to be an experienced psychiatric nurse.

Rationale 5: Because much of the advice given will be how to handle a situation, teaching and communication skills will need to be above average.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 14-2

 

Question 24

Type: MCMA

A child is being discharged from the hospital on home antibiotic infusions for two more weeks. The intravenous line is in place, and the medication will be delivered by the pharmacy and ready to administer on the infusion pump. The home health nurse will visit once a day, but the family will be responsible for administering the medication. The home health nurse will want to educate the family on:

Standard Text: Select all that apply.

  1. How to initiate an intravenous line.
  2. How to operate the infusion pump.
  3. The side effects of the medication.
  4. Actions to take in case of anaphylaxis.
  5. Signs of infection.

Correct Answer: 2,3,4

Rationale 1: The parents will not be expected to start an intravenous line. If a replacement is needed, the home health nurse will visit and perform the skill.

Rationale 2: Home infusion pumps are simple and easily learned. The parents will be expected to operate the pump.

Rationale 3: The parents will need to understand potential side effects so that they can recognize changes in the child’s condition.

Rationale 4: Anaphylaxis can occur with any dose. The parents will need to know what to do should it occur.

Rationale 5: The infection has already been diagnosed. The nurse will not need to teach the parents what symptoms might be due to infection.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 14-4