Author Question: The nurse working with children in a hospital setting notes that they are being discharged earlier ... (Read 128 times)

sabina · **on:** Jun 27, 2018

The nurse working with children in a hospital setting notes that they are being discharged earlier and earlier. Which of the following is a primary reason for this trend?

A) Nursing shortages
B) Increased funding for home care
C) National health care initiatives
D) Cost containment

Question 2

A toddler is diagnosed with osteomyelitis. What should the nurse anticipate as a priority intervention when planning this child's care?

A) Assisting the child with crutch walking
B) Maintaining intravenous antibiotic therapy
C) Keeping the child quiet while in skeletal traction
D) Restricting fluid to encourage red cell production

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

Answer to Question 1

D
Feedback:
Over the past century changes in health care, such as strained health care funding, shorter hospital stays, and cost containment, have led to a shift in responsibilities of care for children from the hospital to homes and communities. Nursing shortages influence the delivery of health care. National health care initiatives may or may not affect earlier discharge to home health care.

Answer to Question 2

B
Feedback:
For osteomyelitis, medical therapy includes administration of intravenous antibiotics, which is usually initiated in the hospital and then continued at home for as long as 2 weeks; an intermittent infusion device or peripherally inserted central catheter may be used. After this, the child will be prescribed an oral antibiotic for 3 to 4 more weeks. There is no enough information to determine the location of the infection so crutch walking may not be applicable. Skeletal traction is not needed to treat osteomyelitis. Fluid restriction does not encourage red blood cell production and may be harmful to the care of this child.