Author Question: The emergency-room nurse receives a preschool-age child who was hit by a car. Which nursing ... (Read 22 times)

Tirant22 · **on:** Jun 28, 2018

The emergency-room nurse receives a preschool-age child who was hit by a car. Which nursing interventions are a priority for this child?

1. Performing a rapid head-to-toe assessment
2. Recording the parents' insurance information
3. Assessing airway, breathing, and circulation
4. Asking the parents about organ donation
5. Asking the parents if anyone witnessed the accident

Question 2

The nurse is planning care for a preschool-age client who has cerebral palsy (CP). Which interventions are appropriate for this client?

1. Providing heath supervision
2. Collaborating with physical therapy
3. Assisting with planning educational services
4. Prescribing medication for spasticity
5. Promoting growth and development

Liddy · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1,3
Rationale: Assessing airway, breathing, and circulation and performing a rapid head-to-toe assessment are the priority nursing interventions. Asking the parents about organ donation is insensitive until the extent of the child's injuries is known. Recording insurance information is necessary but should never come before lifesaving assessment and intervention. Detailed information about the accident is helpful in determining the child's point of impact with the car and mechanism of injury, but this is not the initial priority.

Answer to Question 2

Correct Answer: 1,2,3,5
Rationale: Appropriate interventions for the nurse who is providing care to a client with a chronic condition include providing health supervision, collaborating with other specialties, assisting with planning educational services, an promoting growth and development. It is outside the scope of nursing practice to prescribe medication. The nurse could, however, administer prescribed medications if appropriate.