The pediatric nurse prepares a patient, who is newly paralyzed, for discharge. The patient will require home care, ancillary therapies, complex medication regimens, and would benefit from a peer support group. To ensure adequate preparation for discharge and transition to home life, the nurse will:

Correct Answer: A

Rationale: The correct answer is A) ask the social worker or case manager to organize a care conference. This option is the most comprehensive and essential step to ensure a successful discharge and transition for the newly paralyzed patient. By organizing a care conference, all aspects of the patient's care, including home care, ancillary therapies, medication regimens, and peer support, can be discussed and coordinated among the healthcare team, patient, and family. Option B) assess the family for transportation needs is important but is not as critical as organizing a care conference. Transportation needs can be addressed after the care conference when all other essential aspects of care have been planned. Option C) call the medical supply company to ensure delivery of home care equipment is a necessary step but should be coordinated after the care conference to ensure that the equipment aligns with the overall care plan discussed during the conference. Option D) contact the patient's school to ensure its readiness to accommodate the patient is not relevant in this scenario as the patient is being discharged home and not returning to school. In an educational context, it is vital for pediatric nurses to understand the importance of comprehensive discharge planning and coordination of care for patients with complex needs. Organizing a care conference allows for a collaborative approach to address all aspects of care and support for the patient and their family during the transition to home life.

Correct Answer: C

Rationale: In pediatric nursing, understanding speech production milestones is crucial for assessing a child's development. In this question, the correct answer is C) 5 years old. At this age, children typically achieve the ability to engage in conversational turn-taking and use sentence sequences effectively. Option A) 3 years old is incorrect because by this age, children are usually starting to form simple sentences but may not have fully developed conversational skills. Option B) 4 years old is incorrect because while children at this age continue to improve their language abilities, they may still struggle with complex sentence structures and sustained conversational exchanges. Option D) 6 years old is incorrect because by this age, most children have already mastered basic conversational skills, including the use of sentence sequences. In an educational context, knowing these speech production milestones can help pediatric nurses and healthcare professionals monitor a child's development, identify potential delays or issues early on, and provide appropriate interventions or referrals to support the child's communication skills effectively. Understanding these milestones also allows nurses to educate parents about what to expect in their child's speech development and when to seek further evaluation if necessary.

Correct Answer: D

Rationale: In the context of older school-age children participating in competitive sports, a careful evaluation of the cardiovascular system is crucial. This is the correct answer (Option D) because engaging in strenuous physical activities like competitive sports puts a significant demand on the cardiovascular system. An evaluation can help identify any underlying cardiac issues that may pose a risk during intense physical exertion, such as arrhythmias or structural abnormalities. Option A, vision, while important for overall performance in sports, is not specifically tied to the increased cardiovascular demands of competitive sports. Similarly, Option B, hearing, is not directly related to the physiological challenges that the cardiovascular system faces during intense physical activities. Option C, sexual maturity, is not directly relevant to the immediate concerns related to participating in competitive sports. While sexual maturity can impact physical development and growth, it does not have a direct impact on the cardiovascular system's ability to meet the demands of competitive sports. In an educational context, understanding the importance of evaluating the cardiovascular system in older school-age children before they engage in competitive sports is vital for ensuring their safety and well-being. Educators and healthcare providers should emphasize the significance of pre-participation physical examinations that include a thorough evaluation of the cardiovascular system to prevent any potential cardiac-related incidents during sports participation. By highlighting this aspect, educators can help promote a culture of safety and risk prevention in youth sports.

Correct Answer: A

Rationale: Building a tower by a 22-month-old child requires visual-motor coordination, which is why option A is correct. At this age, children are developing their fine motor skills and hand-eye coordination, enabling them to stack blocks to create a tower. Visual-motor coordination involves the ability to process visual information and use it to coordinate hand movements accurately. Option B, using visual and motor skills in combination, is not specific enough to capture the complexity of visual-motor coordination needed for tower building. Gross and fine motor coordination (Option C) involves larger movements of the body and more precise movements of the hands, which are important but not the primary focus when building a tower. Symbolic thought (Option D) refers to the ability to understand symbols and represent objects mentally, which is not directly related to the physical task of building a tower at this developmental stage. In an educational context, understanding the importance of visual-motor coordination in tasks like tower building can help educators and caregivers provide appropriate activities to support children's development in this area. By recognizing the specific skills needed for such tasks, educators can tailor their teaching strategies to promote and enhance children's visual-motor coordination skills effectively.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) 83%. The sensitivity of a test refers to its ability to correctly identify true positive cases. In this case, out of the 100 truly infected persons, the test correctly identified 83 of them as positive, giving a sensitivity of 83%. Option A) 17% is incorrect because it represents the percentage of true positives that were missed by the test, which is the complement of sensitivity (100% - 83%). Option B) 55% and Option C) 60% are also incorrect as they do not reflect the actual sensitivity value obtained from the data provided. Understanding sensitivity is crucial in healthcare as it helps healthcare professionals evaluate how well a test can identify individuals with a particular condition. A high sensitivity value indicates that the test is reliable in detecting true positive cases, which is essential for accurate diagnosis and treatment decisions in pediatric nursing. Educationally, grasping the concept of sensitivity in diagnostic testing is vital for healthcare students and professionals to make informed decisions based on test results. It ensures that they can interpret and apply test outcomes accurately, leading to better patient care and outcomes.