A 5-year-old child who has had a tracheostomy for several years ...

[piesebel]

A 5-year-old child who has had a tracheostomy for several years is scheduled to begin kindergarten in the fall.
 
  The teacher is concerned about this child's being in her class and consults the school nurse. The nurse should
  1. make arrangements for the child togo to a special school.
  2. ask the parents of the child toprovide a caregiver during school hours.recommend that the child be homeschooled.
  4. teach the teacher how to care for thechild in the classroom.

Question 2

A 2-month-old infant with bronchopulmonary dysplasia is being prepared for discharge from the neonatal intensive-care unit.
 
  He will continue to receive oxygen via nasal cannula at home.Prior to discharge,the home-health nurse assesses the home. Which of the following findings pose the greatest risk to this infant?
  1. Small toys strewn on the floor
  2. A woodstove used for heating
  3. A sibling who has an ear infection
  4. Paint peeling on the walls

[duy1981999]

Answer to Question 1

Answer:4
Rationale:Public Law 94-142 and Public Law 99-457 insure that all children ages 3 to 21 with disabilities will receive a free education. The child may need little extra attention while in the school setting,since he has had the tracheostomy for several years. The teacher should be taught how to care for the child if needed and the signs of distress.If needed,a health aide may be assigned to the child,but this is not the responsibility of the parents.

Answer to Question 2

Answer:2
Rationale: Assessment of the home environment is essential prior to discharge of a medically fragile infant. The use of a woodstove poses great risk to the infant who already has fragile lungs.Oxygen and woodstove heat will produce a flammable reaction.Small toy pieces and paint peeling from the wall will pose a choking risk to the older infant who is crawling.Ear infections are not contagious.