The nurse in the long-term care clinic is reviewing the charts of ...

[V@ndy87]

The nurse in the long-term care clinic is reviewing the charts of a group of children being seen for follow-up visits in the pediatric clinic. The nurse recognizes that chronic limitations might result from which diagnosis?
 
  1. Pneumonia from Haemophilus influenzae virus
  2. Respiratory syncytial virus
  3. Streptococcus pneumoniae, a gram-positive diplococcus
  4. Congenital heart defect

Question 2

A 12-year-old child with congenital heart block codes in the Emergency Department. The parents witness this and stare at the resuscitation scene unfolding before them. The best nursing intervention in this situation is to:
 
  1. Ask the parents to leave until the child has stabilized.
   2. Ask the parents to call the family to come in to watch the resuscitation.
   3. Ask the parents to sit near the child's face and hold his hand.
   4. Ask the parents to stand at the foot of the cart to watch.

[mceravolo]

Answer to Question 1

4
Rationale 1: Pneumonia is not a chronic limitation.
Rationale 2: Respiratory syncytial virus is a serious infection caused by a virus that affects infants. It does not result in permanent disability.
Rationale 3: Streptococcus pneumoniae, a gram-positive diplococcus, is treatable and will not cause chronic limitation.
Rationale 4: A congenital heart defect can leave a child with a permanent chronic condition.
Global Rationale:

Answer to Question 2

3
Rationale:
1. Parents should never be asked to take part in emergency efforts unless absolutely necessary.
2. Having family merely watching the resuscitation serves no purpose for the child.
3. Parents should be helped to support their child through emergency procedures, if they are able.
4. If the parents interfere with resuscitation efforts, or they are unable to tolerate the situation, they can be asked to leave later.

[V@ndy87]

Thanks for the timely response, appreciate it

[scottmt]

Excellent