Prior to accepting an assignment as a home health nurse, the ...

[nramada]

Prior to accepting an assignment as a home health nurse, the nurse must realize that:
 
  1. All decisions will be made by the health care provider.
  2. The family will adapt their lifestyle to the needs of the nurse.
  3. Independent decisions regarding emergency care of the child will be made by the nurse.
  4. The family is in charge.

Question 2

A toddler has had recurrent respiratory infections. The mother of the child expresses concern that her infant seems to be at increased risk for complications from respiratory infections in comparison with her older children.
 
  The best response from the nurse would be: 1. You are incorrect in your assessment.
  2. The younger child's airways are smaller and more easily occluded.
  3. Air passages are more likely to become blocked with mucus because younger children make more mucus than older children.
  4. Toddlers do not breathe as deeply as do older children.

[underwood14]

Answer to Question 1

4
Rationale:
1. All decisions will be made by the family, not by the health care provider.
2. The nurse must be flexible and adaptable to the lifestyle of the family, not the other way around.
3. The family must provide informed consent for emergency care.
4. The home health nurse must realize that the family is in charge.

Answer to Question 2

2
Rationale 1: The mother is correct in her statement.
Rationale 2: Airways are smaller in the younger child and are more easily occluded when mucus is produced.
Rationale 3: Blockage of air passages with mucus is not related to the age of the child but more to the etiology of mucus production and the continuation of the causative agent.
Rationale 4: Depth of breathing is not age-dependent.
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