The nurse in the long-termcare clinic is reviewing the charts of ...

[javeds]

The nurse in the long-termcare clinic is reviewing the charts of a group of children with chronic physical, psychological, functional, and/or social limitations. Which conditions are most likely to lead to chronic limitations?
 
  1. Near drowning
  2. Congenital heart defect
  3. Sinusitis
  4. Fetal insult when the mother contracted rubella in the first trimester of pregnancy
  5. Sepsis contracted as a neonate

Question 2

The nurse is working with an adolescent client who will be admitted to the hospital in two days. Which nursing approach is most appropriate to prepare this client for hospitalization?
 
  1. Have teens who have had similar experiences talk to the adolescent about hospitalization.
  2. Provide an opportunity for the child to talk with an adult who has had a similar experience.
  3. Teach parents what to expect so the information can be shared with the adolescent.
  4. Provide an opportunity for the teen to try on surgical attire.

[jasonq]

Answer to Question 1

Correct Answer: 1,2,4,5
Rationale: All of these conditions or events except sinusitis can leave a child with a permanent chronic condition.

Answer to Question 2

Correct Answer: 1
Rationale: Adolescents benefit from a different approach than younger children when being prepared for hospitalization. Written materials, anatomically correct dolls, and talking to peers who have had similar experiences are all appropriate for the adolescent. The adolescent should be taught first-hand what to expect during the hospitalization. Dressing up in surgical attire is appropriate for the younger child.