A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?

Correct Answer: B

Rationale: In this scenario, the nurse should prioritize assessing the infant with pertussis who is receiving oxygen via nasal cannula. The correct answer is B because respiratory distress in infants with pertussis can deteriorate rapidly, necessitating immediate intervention. Oxygen therapy is crucial for maintaining adequate oxygenation in these patients. Option A is incorrect because while monitoring blood glucose in a child with diabetes is important, it is not as time-sensitive as managing respiratory distress. Option C is incorrect because although providing discharge instructions for an adolescent in sickle cell crisis is essential, it is not as urgent as assessing and managing the respiratory status of a child with pertussis. Option D is incorrect because although feeding a toddler with both arms in casts requires attention, it is not as critical as addressing the respiratory needs of a child with pertussis. Educationally, this scenario emphasizes the importance of prioritizing care based on the acuity of the patient's condition. Nurses must recognize and respond promptly to signs of respiratory distress in pediatric patients, as respiratory compromise can quickly escalate in this population. This question highlights the significance of triaging care to ensure the safety and well-being of patients in a clinical setting.

Correct Answer: A

Rationale: Ambulate an older adult client who has hypertension is correct. An AP can ambulate an older adult client who has hypertension. Provide discharge instructions for a client who has a new skin graft is incorrect. An RN should provide discharge teaching for a client. Perform an admission assessment on a client is incorrect. An RN should perform an admission assessment on a client. Check a blood product with another nurse prior to administration is incorrect. Two RNs or one RN and one licensed practical nurse (LPN) should check a blood product before administration. Weighing a client who has heart failure is correct. An AP can weigh a client who is stable.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Cooperating. The charge nurse is demonstrating a cooperative conflict management style by agreeing to take care of both nurses' clients while they are at lunch. This approach aims to find a mutually beneficial solution where all parties involved work together for a positive outcome. Avoiding (A) would involve the charge nurse ignoring or postponing the conflict, which is not what is happening in the given situation. Competing (B) would involve one party asserting their own needs over others, which is not demonstrated by the charge nurse in this case. Compromising (C) would involve both parties giving up something to reach a middle ground, but in this case, the charge nurse is taking on the responsibility without asking for a compromise. Educationally, understanding different conflict management styles is crucial for nurses and healthcare professionals to maintain a healthy work environment and ensure client safety. By utilizing a cooperative approach, like the charge nurse did in this scenario, conflicts can be resolved efficiently while prioritizing the needs of clients and promoting teamwork among colleagues.

Correct Answer: B

Rationale: In this scenario, option B is the best choice as it demonstrates thorough awareness of safe nursing practices. By asking for the client's name and allergies before checking the bands, the nurse ensures correct identification and allergy verification, which are crucial steps in medication administration to prevent errors. Option A is incorrect because asking the client to state their name is not as reliable as checking identification bands. Option C is also incorrect as it skips the step of verifying the client's allergies. Option D is incorrect because it does not prioritize confirming the client's identity and allergies before entering the room. This question emphasizes the importance of proper client identification and allergy verification to ensure safe medication administration. Nurses must follow specific protocols to prevent medication errors and ensure client safety, making option B the most appropriate choice in this context.

Correct Answer: D

Rationale: In this scenario, the correct action for the teacher to take during a tonic-clonic seizure is to place the hands or a folded blanket under the head of the child. This is important to prevent injury to the child by providing support and cushioning for the head during the seizure. Moving any chairs or desks away from the child (Option A) may not be feasible or necessary during a seizure, as the priority is ensuring the safety and well-being of the child experiencing the seizure. Noting the sequence of movements with the time lapse of the event (Option B) is not as critical during the actual seizure as providing immediate support and care. Providing privacy to minimize frightening other children (Option C) is important for the emotional well-being of all students, but not the most crucial action during a seizure. Educationally, understanding the appropriate first aid measures during a seizure is essential for teachers and school staff to ensure the safety and well-being of students with epilepsy. Proper training and knowledge can help create a supportive and safe learning environment for all students, including those with specific medical needs.