Which assessment finding(s) is/are most likely to occur in a ...

[penguins]

Which assessment finding(s) is/are most likely to occur in a child with unrelieved postoperative pain?
 
  1. Shallow breaths and suppression of cough
   2. Uncontrolled emesis
   3. Eating any food being offered after surgery
   4. Uncontrolled diarrhea

Question 2

After the infant is diagnosed as a child with a chronic health condition, the family is assigned a nurse working as a case manager.
 
  The nurse would explain that as a case manager, the nurse's role will include: Standard Text: Select all that apply. 1. Limiting the number of visits to the health care facility.
  2. Preventing duplication of services.
  3. Improving the quality of life for the child and parents.
  4. Recognizing the equipment needs of the child and providing assistance with equipment acquisition.
  5. Visiting the child in the home to assist with physical care.

[bigsis44]

Answer to Question 1

1
Rationale:
1. Unrelieved pain is stressful, and has many undesirable physiologic consequences. The child with acute postoperative pain takes shallow breaths and suppresses coughing to avoid more pain.
2. Children with uncontrolled postoperative pain are more likely to take shallow breaths and avoid coughing than they are to vomit uncontrollably.
3. When children are experiencing unrelieved postoperative pain, they most will likely refuse food after surgery.
4. Unrelieved postoperative pain has little to do with uncontrolled diarrhea.

Answer to Question 2

2,3,4
Rationale 1: Although well managed care may reduce illnesses and thus visits to the health care facility, limiting visits is not a function of the case manager.
Rationale 2: Because many children who are chronically ill are seen by many doctors and clinics, there is often a duplication of services. Case managing coordinates between the various clinics and doctors to prevent duplication.
Rationale 3: Case managing has many modes of improving the quality of life for children and parents. By coordinating care, the child can often be seen by several physicians during the same visit, thus improving the quality of life.
Rationale 4: The case manager will assist the family in meeting the needs of the child, including helping with identifying and acquiring equipment necessary for caring for the child.
Rationale 5: The case manager does not provide direct patient care.
Global Rationale:

[penguins]

Excellent

[nothere]

TYSM