The nurse recognizes that which of the following is a key aspect of patient-centered care and the medical home model?

Providing interdisciplinary care that is comprehensive.

Empowering families to make decisions.

Offering supportive and holistic care approaches to treat the child.

Taking responsibility for care when needed.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Providing interdisciplinary care that is comprehensive is a key aspect of patient-centered care and the medical home model. This approach involves a team of healthcare professionals from various disciplines working together to provide comprehensive care. It ensures that all aspects of a patient’s health are considered and addressed, leading to more effective and efficient care.

Choice B rationale

Empowering families to make decisions is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While patient and family empowerment is crucial for ensuring that care aligns with the patient’s values and preferences, the medical home model’s primary focus is on providing comprehensive, coordinated care.

Choice C rationale

Offering supportive and holistic care approaches to treat the child is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While these approaches can enhance the quality of care and patient satisfaction, the medical home model’s main focus is on providing comprehensive, coordinated care.

Choice D rationale

Taking responsibility for care when needed is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While healthcare providers must be ready to take responsibility for care when necessary, the medical home model’s primary focus is on providing comprehensive, coordinated care.

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

Explanation

Choice A rationale

Pain management is crucial after a tonsillectomy. Pain can prevent children from eating or drinking, leading to dehydration. Therefore, ensuring that the child’s pain is well managed is an important part of post-operative care.

Choice B rationale

Mild ear pain or bad breath after surgery can be signs of complications such as infection. Therefore, parents should be instructed to report these symptoms if they occur.

Choice C rationale

After a tonsillectomy, the throat is often sore and swollen. Eating soft foods can help prevent further irritation or injury to the throat. Crunchy foods could scratch the healing throat and cause discomfort.

Choice D rationale

While it’s true that scabs will form on the tonsils as they heal, it’s important to monitor them. If a scab dislodges too early, it can cause bleeding. Therefore, this statement is not entirely accurate and should not be included in the discharge instructions.

A. Maintaining a cool, dry environment to promote airway patency. B. Having emergency tracheostomy equipment available at all times. C. Changing the tracheostomy tube per ordered frequency. D. Monitoring thickness and color of secretions.

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

Explanation

Choice A rationale

While maintaining a cool, dry environment can be comfortable for the child, it is not specifically related to tracheostomy care. Humidity can actually be beneficial for a child with a tracheostomy, as it helps to keep the airway moist and prevent mucus from becoming too thick.

Choice B rationale

Having emergency tracheostomy equipment available at all times is crucial. This should include a spare tracheostomy tube of the same size and one size smaller, suction equipment, and a bag-valve-mask device. In case of a problem with the tracheostomy tube (such as blockage or accidental dislodgement), it is important to have the necessary equipment immediately available.

Choice C rationale

Changing the tracheostomy tube at the ordered frequency is important to prevent blockage and infection. The frequency will depend on various factors, including the type of tracheostomy tube and the child’s specific condition.

Choice D rationale

Monitoring the thickness and color of secretions can help to detect infections or other complications. Changes in secretions can be an early sign of problems such as tracheitis or pneumonia.

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The nurse recognizes that which of the following is a key aspect of patient-centered care and the medical home model?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What instructions should the nurse include in the post-operative discharge instructions for a 6-year-old who just had a tonsillectomy? (Select All That Apply)

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

Explanation

When teaching home tracheotomy care to caregivers of a child with a tracheostomy tube, which of the following topics are essential to include in teaching? Select all that apply.

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

Explanation

The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine.Which of the following statements made by the parents indicates an understanding of the discharge instructions?

The nurse is caring for an infant who has a history of bronchopneumonia.What should the nurse anticipate when monitoring laboratory results? Which of the following venous blood gas results should the nurse expect?

A 3-year-old child is admitted to a pediatric unit with moderate dehydration.The nurse would expect to see which of the following assessment findings in this child?

When assisting in obtaining informed consent for a child, which of the following actions were taken? Select all that apply.

A nurse is preparing to administer benzathine penicillin G IM to a school-aged child. Which anglewill the nurse use for injection into the child’s vastus lateralis muscle?

What instructions must the nurse include in the post-operative discharge instruction for a 6-year-old who just had a tonsillectomy? (Select All That Apply).

A nurse is teaching parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? Select all that apply.