MANAGEMENT OF A PEDIATRIC UNIT

MANAGEMENT OF A PEDIATRIC UNIT Management of a Pediatric Unit Which phone message requires the most immediate response by Ms. Sanku? A school social worker who is reporting that a local teenager who often hangs out around the clinic has made death threats and expressed thoughts of suicide. Which situation requires the most immediate follow-up by the nurse? A mother expressing concern that her baby refuses to take formula, stating that the infant's "soft spot" seems more sunken. Which child requires the most immediate follow-up by a nurse? a 9-year-old who got hit on the head with a baseball bad and has a bruise behind his ear and clear nasal discharge. Which task(s) can be assigned to the UAP assisting the nurse? -Apply a cold pack to the teenager's foot -Take the teen's vial signs What action should Ms. Sanku take? Acknowledge that the LPN and UAP are working effectively in caring for the infant. Which member of the staff should be assigned to remain with the child until the ambulance arrives? An experienced staff RN. What action should the nurse educator take first? Call for assistance from other clinic staff members. To whom should the nurse educator refer this mother? The clinic pediatric nurse practitioner. How should the nurse educator respond? Explain the signs and symptoms of diabetes to all parents in the class. Which task(s) should be assigned to an LPN, rather than a UAP? (select all the apply) -Check the residual on the tube feeding for a child with a PEG tube -Perform a straight catheterization for urine specimen collection. Which client should be assigned to a staff RN, rather than a staff LPN? A 2-year-old with diabetes who has been vomiting all night. What action should Ms. Sanku implement? Observe the effectiveness of the action performed by the LPN. How should Ms. Sanku respond? We will go ahead and begin the meeting, and hope that Dr. Chan arrives shortly. What action should Ms. Sanku take? Place the topic requested by the LPN on the meeting agenda for discussion. What action should Ms. Sanku take first? Assign additional staff nurses to research the proposed changes. How should Ms. Sanku respond? As professionals, we should always consider new ways of implementing quality client care. How should Ms. Sanku respond? The best nursing practice combines clinical expertise with the most current research. What action should Ms. Sanku take? Advise the RN to remain in the room with the child. What action should Ms. Sanku implement? Instruct the RN to complete the client teaching in the conference room while the UAP prepares the room for the next client. Ms. Sanku should instruct the UAP to take the oximeter to which client's room? A 3-year-old with a sore throat who is drooling and sitting in a tripod position. Which child should be removed from the play area? An 8-year-old boy who is muttering swear words and poking holes in the furniture with a pocket knife. What action should Ms. Sanku take? Instruct the nurse to draw up each dose personally. What action should Ms. Sanku take? Calmly reassure both the nurse and the parent that it is safe to administer the immunization. How should Ms. Sanku respond? We must report this, but we can help you find a safe place.