A school nurse performs a routine screening on a newly ...

[jc611]

A school nurse performs a routine screening on a newly transferred school-age child. This nurse is especially interested in discovering the child's medical history regarding middle ear infections.
 
  The nurse knows that chronic ear infections are a major contributing factor to which of the following? a. Respiratory diseases
  b. Strep throat
  c. High fevers
  d. Hearing impairment

Question 2

A nurse is frustrated about the lack of staffing for the shift. When one of the patients fell and broke a hip, the nurse documented the incident in the patient's chart. Which entry is the best way that the nurse should document what happened?
 
  a. Patient stated that fell while going to the bathroom. Physician notified.
  b. Nobody available to answer call bell; patient got up on own and fell.
  c. Patient fell because of unsafe staffing levels on unit.
  d. Patient waited as long as possible but nobody there to help and fell.

[kingdude89]

Answer to Question 1

D
Hearing impairment is common in the United States. At-risk children include those with a family history of childhood hearing impairment, perinatal infection (rubella, herpes, or cytomegalovirus), low birth weight, chronic ear infections, and Down syndrome. Children need periodic auditory testing. Advise pregnant women of the importance of early prenatal care, avoidance of ototoxic drugs, and testing for syphilis and rubella. Strep throat, high fevers, and respiratory diseases are potential contributing factors for chronic ear infections.

Answer to Question 2

A
Charting should be factual. Patient stated that fell is the most factual. Do not write retaliatory or critical comments about patient or care by other health care professionals. Statements that are retaliatory or critical can be used as evidence for nonprofessional behavior or poor quality of care. Nobody available to answer call bell, fell because of unsafe staffing levels, or nobody to help are all retaliatory or critical comments and should not be used.

[jc611]

Excellent

[sailorcrescent]

TYSM