Author Question: The nurse is caring for a small child who puts his arm through the side rail just as the nurse is ... (Read 19 times)

karateprodigy · **on:** Jun 27, 2018

The nurse is caring for a small child who puts his arm through the side rail just as the nurse is lowering the side rail. The child gets a big bruise. The housekeeper asks the nurse what happened. The nurse should:

a. tell the housekeeper, since the housekeeper is part of the health care team
b. restrict information to general statements such as, It was an accident.
c. suggest the housekeeper ask the head nurse
d. avoid discussing the accident with the housekeeper

Question 2

Which of the following statements represents a true difference between the fluids and electrolytes of a child compared to those of an adult?

a. Water constitutes a smaller percent of the body weight of children.
b. A smaller percent of the body weight is in the extracellular compartment in children.
c. Infants and children have a relatively greater body surface area than adults.
d. Infants and children have a lower basal metabolic rate than adults.

reversalruiz · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D

Feedback
A Incorrect. The incident is best left reported via the medical chart, and best not discussed with the housekeeper who can repeat or amplify or modify the statement.
B Incorrect. The incident is best left reported via the medical chart and not discussed in any way.
C Incorrect. Chart the incident, but do not refer the housekeeper to the head nurse.
D Correct. The incident is to be charted but not discussed with the housekeeper.

Answer to Question 2

C

Feedback
A Incorrect: Water constitutes a higher percent of the body weight of children than adults.
B Incorrect: A larger percent of the body weight is in the extracellular compartment in children.
C Correct: Infants and children have a relatively greater body surface area than adults.
D Incorrect: Infants and children have a higher basal metabolic rate than adults.