According to Piaget, one basic concept that a child will learn during the first year is that
A) he is separate from his parents.
B) he cannot be fooled by changing shapes.
C) his parents are not perfect.
D) most procedures can be reversed.
A
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Which is the most appropriate guideline for a nurse who makes decisions about vaccines in the elderly?
A) Immunizations should be given until the person does not seem to respond to them anymore. B) Vaccines are more successful if the elderly person takes additional measures to improve their effectiveness. C) Vaccines can be less effective in the elderly because of age-related changes in the immune system in response to foreign antibodies. D) Immunizations should be continued although they may cause T-cell function to decline and result in a weaken response to their effectiveness.
A nurse is starting an intravenous line in a patient being treated for a head injury. Suddenly the patient extends his legs and demonstrates extreme plantar flexion. What action should be taken by the nurse?
1. Document the presence of decorticate posturing. 2. Immediately stop the attempt at intravenous insertion and obtain a blood pressure reading. 3. Assess the position of the patient's arms. 4. Administer intravenous sedation as quickly as possible after access is obtained.
While caring for a patient with a pulmonary arterial catheter, the nurse notes that the number of centimeters of exposed catheter has decreased. What nursing action is indicated?
1. Report this finding immediately; the patient may need another chest X-ray to check for placement. 2. Flush the ports. 3. Obtain a pulmonary artery occlusion pressure. 4. Zero balance the system.
The nurse is assessing the urethral opening of a female client. Which findings should the nurse recognize are associated with a urinary tract infection? Select all that apply.
A. Foul odor. B. Inflammation. C. Leaking urine. D. Redness. E. Discharge.