A nurse is caring for a five-year-old client in a primary care clinic. Which of the following actions would the nurse expect to take in this setting? (Select All that Apply.)
Explanation & Rationale
A. Complete a physical examination, including vital signs: In a primary care clinic, nurses routinely perform comprehensive physical assessments to monitor growth, development, and overall health, making this an expected action. B. Manage acute, life-threatening conditions: Primary care settings are not typically equipped for life-threatening emergencies; stabilization and transfer to an emergency department would be the standard protocol. C. Obtain and record height and weight measurements: Tracking growth parameters is a standard nursing responsibility in pediatric primary care to ensure proper development and detect early health concerns. D. Monitor medically fragile children daily: Daily monitoring of medically fragile children is more appropriate in hospital or specialized care settings, not routine primary care clinics. E. Administer immunizations as scheduled: Providing scheduled vaccinations is a core function of nurses in primary care clinics to prevent communicable diseases. F. Administer IV fluids as ordered: IV fluid administration is not routinely performed in primary care clinics; it is usually done in inpatient or emergency settings.