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 has a head injury

A child who is experiencing sickle cell crisis

A child who has streptococcal pharyngitis

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

Answer and Explanation

The Correct Answer is D

A.   A child with a head injury may require close monitoring for neurological changes, which could involve frequent assessments and interventions. While not directly related to infection risk, the needs of this child may be different from those of a postoperative child, making this pairing less ideal due to differing care needs and potential disruptions.
B.   A child in sickle cell crisis is likely experiencing significant pain and requires specialized care for pain management and hydration. This condition is not contagious but can be complex and may require frequent interventions, making it less ideal to room with a postoperative patient who needs a controlled environment for recovery.
C.   Streptococcal pharyngitis is a contagious infection caused by Group A Streptococcus. To minimize the risk of postoperative infection, it is generally advisable to avoid placing a postoperative patient in the same room with someone who has a contagious infection. This would help in preventing the potential spread of infection to the postoperative child, who is already vulnerable.
D.   A child with a new diagnosis of type 1 diabetes mellitus requires education and management of blood glucose levels. This condition is not contagious and does not pose a risk of infection to a postoperative patient. Therefore, the needs of this child align well with the postoperative child, as both are managing chronic conditions rather than dealing with infections.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Speaking to a provider on behalf of a client can be part of a nurse's advocacy role, but it is not specifically an example of responsibility. Advocacy involves representing the client's needs and preferences, but the action itself is more about advocacy than personal responsibility.

B. Performing hand hygiene before caring for a client is a fundamental practice that falls under the responsibility of ensuring infection control and maintaining patient safety. It is a key aspect of professional responsibility as it directly impacts the prevention of healthcare-associated infections and upholding high standards of patient care.
C. Contacting a social worker for a client who needs help with finances is part of the nurse's role in coordinating care and addressing the client's needs holistically. It reflects the nurse’s responsibility to ensure that the client receives comprehensive support, but it is more about care coordination rather than the direct personal responsibility in care delivery.
D. Supporting a client's decision to discontinue treatment is related to respecting patient autonomy and ethical principles. While it is a critical aspect of patient-centered care, it represents the nurse's role in advocacy and ethical practice rather than a direct example of personal responsibility in routine tasks.

A. Client reports dull, aching pain in lower right calf. B. Client reports nausea following administration of pain medication. C. Client's oral temperature is 38.4° C (101.2° F). D. Client reports the rash on their back is itchy. E. Client has a vesicular rash on their upper back.

Correct Answer is ["A","B","D"]

Explanation

A. This is subjective data. The description of pain as "dull" and "aching" is based on the client's personal experience and cannot be measured directly by the nurse. Pain is a subjective symptom because it varies from person to person and is reported by the patient.
B. This is subjective data. Nausea is a feeling or sensation reported by the client and is based on their personal experience. The nurse relies on the client's report to assess this symptom, as it cannot be directly observed or measured.
C. This is objective data. The temperature reading is a measurable, quantifiable fact that can be directly observed and recorded by the nurse using a thermometer. It provides concrete evidence of the client's condition.
D. This is subjective data. Itchiness is a sensation reported by the client and is based on their personal experience. The nurse cannot measure itchiness directly; they rely on the client’s description to understand the symptom.
E. This is objective data. The presence of a vesicular rash is an observable finding that the nurse can see and document. It is a physical characteristic that can be directly assessed and recorded.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of responsibility?

Correct Answer is B

Explanation

A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?

A nurse is teaching a class on leadership. The nurse should include that which of the following types of leaders identifies common values to empower employees?

A nurse is preparing an educational session about The Joint Commission (TJC). Which of the following information should the nurse include?

A nurse is caring for a client. Exhibits For which of the following interprofessional team members should the nurse anticipate a provider's referral? (Select all that apply).

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?

A nurse is organizing interprofessional team members to meet the needs of a client. Which of the following roles is the nurse taking?

A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

A nurse is teaching a class about the interlocking principles of shared governance. Which of the following principles should the nurse include? (Select All that Apply.)