The nurse is planning care for a pediatric client who has a ...

[OSWALD]

The nurse is planning care for a pediatric client who has a fractured femur and requires a spica cast after being involved in a motor vehicle accident. The client's adolescent brother was driving the car, which was a total loss. The client's father lost his job 3 weeks ago and the mother has just accepted a temporary waitress job. Which is an appropriate nursing diagnosis for this child, and family, based on the current data?
 
  1. Interrupted Family Processes related to a child with significant disability requiring alteration in family functioning.
  2. Risk for Caregiver Role Strain related to a child with a newly acquired disability and the associated financial burden.
  3. Impaired Social Interaction (parent and child) related to the lack of family or respite support.
  4. Compromised Family Coping related to multiple simultaneous stressors.

Question 2

Which aspect of an emergency medical services system (EMS) indicates the providers are prepared to provide emergency care to children?
 
  1. Listing hospitals in the area that treat children
  2. Having pediatric-sized equipment and supplies
  3. Placing small stretchers in emergency vehicles
  4. Educating staff related to assessment and treatment of children of all ages

[meganmoser117]

Answer to Question 1

4
Explanation:
1. The spica cast might require alteration in family functioning; however, the situation describes no signs and symptoms to indicate this. In addition, fractures generally are not considered a significant long-term disability.
2. The need for a spica cast is not considered a newly acquired disability. Nothing about the situation describes caregiver role strain.
3. Lack of family members and lack of respite support were not mentioned in the scenario.
4. The situation describes multiple changes, or stressors, in the family's situation that compromise family coping skills.

Answer to Question 2

4
Explanation:
1. While a list of hospitals that treat children is an essential part of an EMS system, the aspect that is most indicative that EMS providers actually are prepared to take care of children is evidence of education related to assessment and emergency treatment.
2. While size-appropriate equipment is an essential part of an EMS system, the aspect that is most indicative that EMS providers actually are prepared to take care of children is evidence of education related to assessment and emergency treatment.
3. While size-appropriate equipment is an essential part of an EMS system, the aspect that is most indicative that EMS providers actually are prepared to take care of children is evidence of education related to assessment and emergency treatment.
4. The aspect that is most indicative that EMS providers actually are prepared to take care of children is evidence of education related to assessment and emergency treatment.

[OSWALD]

Thank you

[meganmoser117]

Happy to help you