Author Question: The nurse working in an outpatient clinic sees a mother run into the center holding a toddler by the ... (Read 32 times)

mynx · **on:** Jul 22, 2018

The nurse working in an outpatient clinic sees a mother run into the center holding a toddler by the ankles and pounding on his back while yelling, Help me please He's choking and I can't get it out.

What is the nurse's priority intervention? 1. Call 911.
2. Call the doctor.
3. Take the child from the mother and assess airway.
4. Take the child from the mother and assess the child for a pulse.

Question 2

The nurse notes that the client is not eating most of the food on his tray.

The nurse reasons that the cause of the inadequate intake could be cultural differences causing him to dislike the food he is served; excessive portions; depression or anxiety; or irritated mucous membranes in his mouth from the treatment he is receiving. This part of the decision-making progress is identified as: 1. Goal setting.
2. Data collection.
3. Exploring options.
4. Troubleshooting.

Heffejeff · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: The nurse will take the child from the mother and assess airway and breathing. Only after airway and breathing are confirmed will circulation be assessed. The nurse does not call 911 until after the assessment, because 911 might not be needed if the child is breathing. The nurse should assess the child, and the office staff can inform the doctor.

Answer to Question 2

3
Rationale 1: Answer option 3 is correct because the nurse has evaluated the client's intake, and is seeking alternatives to determine the cause of the problem. The nurse has not yet set any new goals for the client, and has not determined the criteria for evaluating the client's intake (options 2 and 3). The nurse is not troubleshooting the problem or the solution, but is gathering information about what is known about the client to suggest another option to solve the problem (option 4).