Answer to Question 1
A
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A Correct: For a child who has been given a nursing diagnosis of Fear related to separation from caregiver, staying overnight with a peer indicates a goal has been met.
B Incorrect: This outcome is a goal in the future and has not yet been met.
C Incorrect: This outcome is a goal in the future and has not yet been met.
D Incorrect: This is not the correct response.
Answer to Question 2
B
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A Incorrect. As a new nurse in a pediatric clinic, your best initial preparation for this job would not be to review your pediatric text that you used in nursing school in order to memorize immunization schedules.
B Correct. As a new nurse in a pediatric clinic, your best initial preparation for this job would not be to obtain a current printed copy of the recommended childhood immunization schedule as approved by the American Academy of Pediatrics and others.
C Incorrect. As a new nurse in a pediatric clinic, your best initial preparation for this job would not be to study the policy and procedure manuals of the pediatric clinic there you work to ascertain the immunization schedules of the clinic.
D Incorrect. As a new nurse in a pediatric clinic, your best initial preparation for this job would not be to contact the local school district to ascertain which immunizations are required.
The nurse conducts the health history as the first step in the nursing assessment
The nurse applies a pulse oximeter sensor on the client’s finger.
This young child is pulling at the ear and acting fussy, two important signs of otitis media.
Measles. A photograph of a child stricken with measles, showing the tell-tale sign of the skin rash.
Cataracts seen in a child with congenital rubella syndrome.
Child Development: A Cultural Approach