The admission orders for a patient with traumatic brain injury say to keep the patient's head elevated with neutral body positioning. Which patient positioning would the nurse consider as meeting this requirement?
1. The patient's head is supported on two pillows.
2. The head of the patient's bed is elevated to 20 degrees.
3. The patient's hips are flexed at less than 90 degrees.
4. The neck is in the patient's position of comfort, which is rotated to the left.
5. The patient is facing forward.
3, 5
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The nurse is providing health education to the parents of a toddler who has been diagnosed with food allergies. What should the nurse teach this family about the child's health problem?
A) "Food allergies are a life-long condition, but most families adjust quite well to the necessary lifestyle changes." B) "Consistent use of over-the-counter antihistamines can often help a child overcome food allergies." C) "Make sure that you carry a steroid inhaler with you at all times, especially when you eat in restaurants." D) "Many children outgrow their food allergies in a few years if they avoid the offending foods."
A teenager is being seen in the outpatient clinic after a fainting episode at home. The client's body mass index (BMI) is 16, and she reports no menses for the past 3 months. Which additional assessment finding would the nurse anticipate?
A) Absence of hair on arm and legs B) Tachycardia C) Clubbing of fingers and toes D) Complaint of temperature intolerance
The nurse is preparing a newborn for a circumcision. Which of the following data would be important for the nurse to report to the physician prior to the procedure?
1. The mother took anticoagulants prenatally. 2. The mother is breastfeeding the newborn. 3. The newborn's Apgar scores were 8 and 9. 4. The newborn has had six wet diapers within the last 12 hours.
The labor process is an exciting and anxious time for the patient and her partner and family
In a relatively short period of time, they experience one of the most profound changes in their lives. Nursing care management focuses on assessment and support throughout labor and birth, with the goal of ensuring the best possible outcome for mother and newborn. Please match each nursing diagnosis with the appropriate intervention needed to achieve the expected outcome. a. Anxiety related to labor and the birthing process b. Acute pain related to contractions c. Risk for impaired urinary elimination d. Risk for impaired individual coping e. Fatigue related to energy expenditure during labor and birth 53. Instruct the patient and partner in the use of specific relaxation techniques. 54. Continue to provide comfort measures and minimize distractions. 55. Group care activities as much as possible. 56. Orient the patient and family to the labor and birth unit. 57. Encourage frequent voiding and catheterize if necessary.