The AACN Synergy Model for Patient Care says that the needs or…

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Question Answered step-by-step The AACN Synergy Model for Patient Care says that the needs or… The AACN Synergy Model for Patient Care says that the needs or characteristics of patients and families influence and drive the characteristics or competencies of nurses. This activity is designed to show you how the application of a well-defined model can help determine nursing competencies.Where do ICU patients fall in this Model for Care? What would be the areas ofcompetence for the nurse? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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Question A nurse in a family practice clinic is collecting data from a... A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as possible indication of sexual abuse?WithdrawnDestructiveManipulativePerfectionist2. A nurse is reinforcing teaching about controlling allergens with the parent of a child who has a new diagnosis of asthma. Which of the following instructions should the nurse include?"Use a damp cloth to dust your child's furniture weekly.""wash your child's pillow in cold water twice monthly.""Install carpet in your child's room""Use a humidifier in your child's bedroom."  3. A nurse is preparing a child who has suspected bacterial meningitis for a lumber puncture. Which of the following cerebrospinal fluid finding supports the diagnosis?Elevated glucoseDecrease WBCsDecrease pressureElevated total protein  4. A nurse caring for an adolescent client who is schedule for surgery. Which of the following actions should the nurse take to prepare based on the developmental stage?Emphasize that the procedure is not a punishmentAvoid involving the client in decisions regarding treatment.Keep equipment out of the client's sight.Discuss how the procedure might affect the client's appearance  5.  A nurse is caring for a child who has a urinary tract infection. Which of the following findings should the nurse expect?Possible leukocyte esteraseDeep gold-colored urineSpecific gravity 1.015Osmolality 700mOsm/L 6.  A nurse is reinforcing teaching with a female adolescent who has dysmenorrhea. Which of the following instruction should the nurse include?Increase daily intake of fatApply cold packs to lower abdomenLimit physical activityMassage the lower back  7. A nurse is collecting data from a 6-month-old infant during a well-child visit. The infant weigh 3.26 kg (7 lb. 2oz) at birth. Which of the following is the anticipated weight at 6 months of age?4.1 to 5 kg (9 to 11 lb.)10.4 to 11.3 kg (23 to 25 lb.)8.6 to 9.5 kg (19 to 21 lb.)6.8 to 7.7 kg (15 to 18 lb.) 8.  A nurse is caring for an adolescent client who has a fractured tibia and a cast. Which of the following findings should the nurse report to the provider?Coolness of the toesPain following range-of-motion exercisesPruritus under the castPresence of swelling while the extremity is dependent. 9. A nurse is preparing to administer amoxicillin 80 mg/kg/day to divide equally every 8 hour to a preschooler who weighs 33lb. Available is amoxicillin oral suspension 250 mg/5 mL. How many mL should the nurse administer per does? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ___________________ 10. A nurse is reinforcing teaching with a parent of a child who has attention deficit hyperactivity disorder. Which of the following statements should the nurse include in the teaching to promote the child's learning? "Provide your child with long-term goals to increase self-esteem.""Administer your child's medication at bedtime to prevent insomnia.""Schedule a different routine for your child each day.""Offer your child frequent breaks in activity during the day." 11. A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to an adolescent. Which of the following should the nurse identify as a contraindication to administering this vaccine?Severe peanut allergyMild ear infectionFamily history of seizuresCurrent pregnancy 12.  A nurse is assisting in the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?Position the child sitting with their buttocks at the edge of the tablePlace the child supine with legs flexed outwards into a frog-like positionPlace the child in prone position to expose the posterior iliac crestPosition the child side-lying to expose the vertebrae  13.  A nurse is reinforcing teaching with a parent of a child who has a sprain wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hour to minimize swelling?Elevate the extremity above the level of the heartWrap the extremity loosely with an elastic bandage Apply warm compresses to the extremityEncourage active range of motion of the extremity  14. A nurse is reviewing the laboratory report of a preschooler during a well-child visit. Which of the following laboratory results should the nurse report to the provider?Calcium 9 mg/dLSodium 140 mEo/LIron 100 mcg/dLHemoglobin 8g/dL 15. A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her schedule immunization 1 hour ago. Which of the following findings reported by the parent is the nurse's priority?"My child cries when I touch the area where she received the shot.""My child only ate 2 ounces during her last feeding.""My child has a temperature of 100.7 degrees Fahrenheit.""My child has some swelling around her eyelids and mouth." 16.  A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. What statement should the nurse make?"You should place the medication along the side of your child's tongue during administration.""You should add the medication to your child formula prior to feeding.""You should put small bits of ice on your child's tongue prior to administering the medication.""You should position your child on their back during administration of the medication."  17. A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hour ago. Which of the following actions should the nurse take first?Apply calamine lotion to the affected areaInstruct the parent to give the child an oatmeal bath twice dailyAdminister an oral corticosteroid. Flush the area with cold, running water.  18. A nurse is planning to collect a stool specimen from an infant to check for the presence of ova and parasites. Which of the following actions should the nurse plan to take?Transfer the specimen to the collection container using povidone-iodine soaked gauze. Maintain the specimen at room temperature after collection until it is transferred to the lab. Place a urine collection device on the infant until the specimen is obtained.Obtain the specimen by swabbing the infants rectum using a sterile culture swab.  19. A nurse is preparing to administer nasogastric tube feedings to a 2-month-old infant. Which of the following actions should the nurse plan to take?Aspirate residual fluid from the infant's stomach and discardMicrowave the infant's formula to a temperature of 41°C (105.8°F)Position the infant in a supine position during feedings. Stabilize the tube by taping it to the infant's cheek 20. A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?A 9-month-old who has been exposed to bedbugs and has cellulites. A 6-month-old who has a spinal fracture to a lower extremityA 24-month-old who experiences occasional incontinenceA 4-year-old who has a rivalry with their sibling 21. A nurse is assisting with the care of a school-age child who recently returned to the PACU following pin placement for a radial head fracture with casting. Which of the following findings should the nurse monitor for when conducting a circulatory check for compartment syndrome?PulselessnessUrticariaMottlingEdema 22.  A nurse is assisting with the care of a school-age child who has shigella. Which of the following action should the nurse take?Provide a diet high in sodium Maintain oral rehydration therapyGive antidiarrheal agents every 4 hourAdminister antiviral medication 23.  A nurse is reinforcing teaching with the parents of a child who infective endocarditis. Which of the following instructions should include in the teaching?Antibiotics might cause splinter hemorrhages under the child's nail.Discontinue antibiotics when the fever has resolvedObtain prophylactic antibiotics for family membersAntibiotics will be needed prior to dental work 24. A nurse in a well-child clinic is collecting data from four clients. Which of the following should the nurse report potential indication of child maltreatment?A 4-year-old child who has history of frequent urinary tract infection.A 6-year-old child who has a fracture of the arm from a bicycle injuryA 34-month-old who has several small bruises on the shinsA 15-month-old child who bites other children while at day care 25. A nurse is reinforcing teaching about sibling adaptation with a parent of a child who has cystic fibrosis. Which of the following instructions should the nurse include in the teaching?Designate one parent to stay at home with the siblingEncourage phone calls between the siblingsAvoid discussing the child's diagnosis with the siblingAvoid having the sibling visit the child in the facility  26. A nurse is contributing to the plan of care for a school-age child who has Crohn disease. Which of the following food choices should the nurse include in the plan?Plain yogurtPopcornHot dog Dried apricots  27. A nurse is reinforcing teaching with the parents of a 10-week-old infant who is schedule for a surgical repair of a cleft lip. Which of the following information should the nurse include?"You should give your baby a pacifier when she cries.""Your baby will be placed in elbow restraints following surgery "Your baby cannot have anything by mouth until 2 hours after surgery.""You should position your baby on her abdomen following surgery."  28.  A nurse is reinforcing teaching with the parent of a child who has otitis media and a new prescription for amoxicillin oral suspension. Which of the following information should the nurse include?This medication can cause blurred vision This medication can cause muscle painThis medication can cause loose stoolsThis medication can cause ringing in the ears29. A nurse caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?Perceives death as a punishmentWorries about physical body changes Has feelings of isolationUnderstands that death is permanent  30.  A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30 minutes ago. Which of the following findings is the nurse's priority?Asymmetric pupils 2 cm (0.8 in) scalp laceration Nasal discharge negative for glucose Negative Babinski reflex  Health Science Science Nursing PED MISC Share QuestionEmailCopy link Comments (0)
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