NURSING CARE ;( 21ST
CENTURY PEDIATRIC NURSING)
QUESTIONS AND THEIR REVIEWED
SOLUTIONS
A patient is put on a ventilator in the intensive care
unit of a tertiary hospital for long-term care. While
caring for the patient, the nurse continuously
assesses the health status of the patient. How does
this intervention affect the patient's outcome? It
prevents:
1. pneumonia
2. lung cancer
3. cystic fibrosis
4. pulmonary edema
1. pneumonia
One of the major disadvantages of long-term ventilator
care is ventilator-associated pneumonia. The nurse has to
assess the patient for ventilator-associated pneumonia or
for the early detection of respiratory complications due to
ventilators. Lung cancer is not associated with ventilator
support. Cystic fibrosis is due to defect in chromosome
, number 7. Pulmonary edema is not the main concern
associated with ventilators in the ICU.
The role of the pediatric nurse is influenced by trends
in health care. The greatest trend in health care is:
1. primary focus on treatment of disease or disability.
2. national health care planning on a distributive or
episodic basis.
3. accountability to professional codes and
international standards.
4. shift of focus to prevention of illness and
maintenance of health
4. shift of focus to prevention of illness and maintenance
of health.
Prevention is the current focus of health care, one in which
nursing plays a major role. Traditionally, treating disease
or disability is the role of the physician. National health
care planning is not a major trend. Accountability to
professional codes is an established responsibility, not a
trend.
The signs and symptoms in a nursing diagnosis
describe:
1. projected changes in an individual's health status,
clinical conditions, or behavior.
2. an individual's response to health pattern deficits in
the child, family, or community.
3. a cluster of cues and/or defining characteristics that
are derived from patient assessment and indicate
actual health problems.