Numerade

Questions asked

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Mauya Mitchell

Numerade educator

CONCEPTUAL CORNERSTONE Short Answer Question A teenage child diagnosed 12 years ago with cystic fibrosis has been admitted for the fourth time in the last six months with pneumonia. Her lungs have demonstrated severe disease, she has a persistent wet cough, and she is unable to clear her thick pulmonary secretions adequately. On admission, she presents with oxygen saturations of 86-88%, oxygen dependency, fevers, respiratory distress, tachypnea, tachycardia, extreme fatigue, and dehydration. She is very quiet and looks despondent. Keeping in mind the concept of safety, define what is meant by the following terms related to exacerbations of a chronic illness: 1. Aggravation of symptoms: 2. Relapse of an acute phase:

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Mauya Mitchell

Numerade educator

LEARN TO C.U.S. A mother of a child with cerebral palsy (CP) needs to learn how to give her child anticonvulsants via his new percutaneous endoscopic gastrostomy (PEG) tube because the child has demonstrated increased choking with oral medications. The child is considered at risk for aspiration, so the mother needs to be taught how to draw up the medications and administer the medication flush. The mother has not been seen at the hospital for two days and refused to believe the doctor when he said that her son will need daily anticonvulsants for his chronic illness and that the child's symptoms were not seizure activity but rather spasms from his history of CP. The nurse becomes concerned when the team discusses the impending discharge but the mother has not been seen. How might you word your concerns with the team? C:___________________________________________________________________________ U:___________________________________________________________________________ S:___________________________________________________________________________

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Luke Humphrey

Numerade educator

NURSING CARE PLAN SHORT ANSWER QUESTION Write a nursing diagnosis and a corresponding nursing goal (patient-oriented) for the family of a young infant who has been admitted to the pediatric unit after having an acute life-threatening event. Nursing diagnosis: Nursing (patient-oriented) goal:

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Hubert Agamasu

Numerade educator

SAFETY STAT! Short Answer Question The nursing staff of an emergency room is responding to a child who presents in acute dehydration from having emesis and diarrhea for the last 3 days. The child is estimated to have lost at least 10% of his previous weight. A series of three boluses has been ordered to resuscitate the child's fluid status. Describe the solution that will be used for the intravenous administration, and calculate the fluid bolus if the child weighs 27 pounds.

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Nick Johnson

Numerade educator

THERAPEUTIC COMMUNICATION Short Answer Question Describe how you would phrase a question directed to parents about whether or not the family might want to be present during a rapid response by a modified pediatric code blue team for a child having a severe allergic response to the administration of intravenous medication.

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Mauya Mitchell

Numerade educator

LEARN TO C.U.S. Short Answer Question You are caring for a young infant who is hospitalized for a rule-out bacterial urinary tract infection. Although blood and urine cultures are pending, the child is currently being treated with a broad-spectrum antibiotic until sensitivities can be determined and to match the microbial culprit with the correct antibiotic. At the beginning of your shift, the child is demonstrating tachycardia, tachypnea, and lethargy. After reporting the findings to the nurse caring for the child, you prepare to discuss the child with the charge nurse and the rounding physician. How might you organize your concerns? C: U: S:

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ANSWERED

Hubert Agamasu

Numerade educator

THERAPEUTIC COMMUNICATION A young child is newly diagnosed with a life-threatening respiratory illness and is now chronically ill with residual respiratory insufficiency. The father becomes very angry while his daughter is hospitalized. The father feels the hospitalist on duty does not know his daughter sufficiently and is ordering invasive diagnostic exams that he perceives will cause his daughter discomfort and fear. The father begins to pace the halls, visibly upset and loudly shouting demands for a pediatrician

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Breanna Ollech

Numerade educator

TEAM WORKS Short Answer Question Define the term compliance as it relates to posthospitalization medication regimens. Give a hypothetical example of a situation in which compliance is an issue.

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Sheryl Ezze

Numerade educator

3. What experience do you have in this field? 4. What have you done to improve your knowledge in the last year? 5. Why do you want to work for this organization? 6. What kind of salary do you need? 7. Are you a team player? (Provide an example) 8. What is your philosophy towards work? 9. Have you ever been asked to leave a position? 10. Why should we hire you? 11. Why do you think you would do well at this job? 12. What would your previous supervisor say your strongest point is? 13. What has disappointed you about a job? 14. Tell me about your ability to work under pressure. 15. What motivates you to do your best on the job? 16. Are you willing to work overtime? Nights? Weekends? 17. Are you willing to put the interests of the organization ahead of your own? 18. Describe your management style. 19. How do you propose to compensate for your lack of experience? 20. Describe your work ethic. 21. Do you have any questions for me?

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Breanna Ollech

Numerade educator

You are a newly graduated nurse who is working in a busy pediatric outpatient clinic where 50 to 60 children are seen on a daily basis. You are performing vital signs and an initial intake assessment on an adolescent mother who is bringing her 3-month-old infant for her first set of immunizations (the child had received the first hepatitis vaccine after birth). You weigh the infant, measure length and head circumference, and plot your findings on a national growth chart. You become alarmed that the infant is demonstrating a third percentile for each of the three measurements. You orient the family to the room and tell them you will be back to provide care. 1. What are your next steps and whom do you contact?

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Kaylan P.