NUR 320 Quiz 1 Study Guide Chapter 1 and 2

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Identify what constitutes an advanced practice nursing role.  Master’s-level education: o Master’s degree in nursing (MSN) o Clinical nurse specialist (CNS) o Pediatric nurse practitioners ... (NP, PNP, ARNP, APRN) o MORE RESPONSIBILITY FOR CARE OF CLIENT AND CLIENT OUTCOMES  Doctoral-level education: o Doctor of nursing practice (DNP) o Doctor of philosophy in nursing (PhD) o MORE RESEARCH RELATED RESPONSIBILITIES Examine the historical influences on pediatric healthcare and nursing.  A flood of immigrants from Europe settled in eastern American cities, leading to crowded and unsanitary conditions  Inadequate & unsanitary foods (contaminated milk)  Lack of immunizations  Harsh working conditions (including child labor)  These all led to INFECTIOUS DISEASES: o TB o Typhoid fever o Smallpox o Scarlet fever  Lilian Wald o Founder of public health nursing o Pioneered home visits, school nursing, and public health nursing o Recognized the need for health promotion and disease prevention o Wald and Brewster opened the Henry Street Settlement: a nurse managed healthcare center still in operation  Advances contributing to child healthcare o Immunizations o Antibiotics o Technology o Genetic testing o Gene therapy Identify the most common cause of child morbidity and mortality at varying ages.  The leading cause of neonatal death: prematurity  Neonate: less than 30 days old  Most common cause of death for children 1 to 19 years: unintentional injury (accidents)  Between 30 days and 1 year, the leading cause of death is SIDS  The second leading cause of death of kids is suicide  The third leading cause of death of kids is homicide Nursing Role in Injury Prevention  Education about causes of injury and death  Anticipatory guidance (teaching) for parents and caregivers  The child’s developmental level partially determines the types of injury most likely to occur Identify strategies to include pediatric patient safety in the healthcare setting.  Children are at greater risk for medical errors  Med errors are three times greater than adults  Strategies to reduce pediatric medication error: o Do not rely on memory; verify medication dosages and their calculations o Medications with a sound-alike medication should be reviewed to make sure the correct medication has been prescribed for the patient’s condition o Every prescription should include the child’s weight and age as well as the calculated dose and mg/kg dose. The dosage form (vial, tablet, or ampule) should not be used on the prescription, as medication preparations and concentrations may vary by pharmaceutical company o A zero should not be used after a whole number (e.g. 5.0 could be misread as 50 which can potentially result in a 10-fold dosage increase) o Abbreviations for medications and frequency of administration should not be used o Handwritten prescription information should be written in legible printed letters to prevent confusion with other drugs having similar names o The administration rate for all intravenous medications should be specified o Unit dose dispensing systems should be used Describe practices that appropriately reflect Family Centered Care.  Collaboration o The family is acknowledged as the constant in the child’s life and a partner in the child’s health care o The family, child, and health professionals work together in the best interest of the child and the family. Over time, the child assumes a partnership role in his or her health care.  Information Sharing o Communication occurs in an open, unbiased manner and is ongoing.  Dignity  Respect [Show More]

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