A new client arrives for a first visit to the pediatric clinic. The nurse will prioritize which step in this appointment?

Determining the chief complaint.

Interviewing the caregiver.

Obtaining biographical data.

Recording the health history.

Answer and Explanation

The Correct Answer is A

Choice A reason: Determining the chief complaint identifies the primary reason for the visit, guiding the assessment and care plan for the child. This aligns with pediatric nursing triage principles, making it the prioritized step to ensure focused, efficient care during the first visit to the clinic.

Choice B reason: Interviewing the caregiver provides context but follows identifying the chief complaint, which directs the conversation. The complaint sets the visit’s focus, making this secondary and incorrect compared to prioritizing the reason for the child’s visit in the initial pediatric clinic appointment.

Choice C reason: Obtaining biographical data is administrative and less urgent than addressing the child’s health concern. The chief complaint drives the clinical encounter, making this less critical and incorrect compared to prioritizing the identification of the primary issue in the first clinic visit.

Choice D reason: Recording the health history is important but comes after understanding the chief complaint, which shapes the history-taking. Identifying the complaint ensures relevance, making this subsequent and incorrect compared to the prioritized step of determining the reason for the child’s visit.

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Correct Answer is C

Explanation

Choice A reason: Airborne transmission involves pathogens spread through respiratory droplets, not insects. Insect-borne pathogens are vector transmission, making this incorrect, as it misidentifies the mechanism for diseases like malaria spread by mosquitoes in the nurse’s presentation on pathogen spread.

Choice B reason: Vehicle transmission involves contaminated objects or food, not insects. Pathogens spread by insects are via vector transmission, making this incorrect, as it does not describe the role of insects in pathogen spread in the nurse’s presentation on transmission mechanisms.

Choice C reason: Vector transmission occurs when insects like mosquitoes carry pathogens between hosts, a key mechanism for diseases like dengue. This aligns with infectious disease principles, making it the correct term for the nurse to illustrate in the presentation on how pathogens are spread.

Choice D reason: Contact transmission involves direct touch or surfaces, not insects. Vector transmission correctly describes insect-borne spread, making this incorrect, as it does not apply to the role of insects in pathogen transmission in the nurse’s educational presentation.

A. Notifying the family’s religious leader of the tragedy. B. Calling the funeral home to make arrangements for the body transfer. C. Cleaning and making the deceased presentable to the family. D. Presenting the family with the deceased’s personal belongings.

Correct Answer is C

Explanation

Choice A reason: Notifying a religious leader may provide spiritual support but is secondary to facilitating the family’s immediate grieving by viewing the deceased. Cleaning the body allows closure, making this less urgent and incorrect for the initial nursing action to support the family’s grief in the ER.

Choice B reason: Arranging funeral home transfer is logistical and less immediate than helping the family process loss through viewing the deceased. Preparing the body supports emotional closure, making this secondary and incorrect for the initial action to aid the family’s grieving process in the ER.

Choice C reason: Cleaning and presenting the deceased allows the family to view their loved one, facilitating closure and beginning the grieving process. This aligns with trauma nursing principles for supporting bereaved families, making it the best initial action in this tragic car accident scenario.

Choice D reason: Presenting personal belongings is meaningful but less critical than allowing the family to see the deceased, which supports immediate grief processing. Body preparation takes precedence for closure, making this less impactful and incorrect for the initial grieving support action in the ER.

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A new client arrives for a first visit to the pediatric clinic. The nurse will prioritize which step in this appointment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a presentation depicting the various ways pathogens are spread around. The nurse will illustrate that pathogens passed around via insects is referred to as which mechanism?

Correct Answer is C

Explanation

The emergency room nurse is caring for a family who lost an adolescent in a violent car accident. Which initial nursing action best helps the family’s grieving process?

Correct Answer is C

Explanation

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