The nurse is working in the newborn nursery. In planning for temperature measurement, the nurse will obtain the reading on the infants by using the:
1. Oral site
2. Rectal site
3. Axillary site
4. Tympanic site
ANS: 3
The axillary site can be used with newborns and uncooperative clients. The oral site should not be used with infants. The rectal site should not be used for routine vital signs in newborns. The tympanic site is questioned as being accurate in newborns.
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Viral hepatitis may be treated at home. What should be taught to the patient's family? (Select all that apply.)
a. Clothes should be laundered separately with hot water. b. Personal items and drinking glasses should not be shared. c. Articles soiled with feces do not require extra care. d. Hands need to be thoroughly washed after toileting. e. Contaminated items may be disposed of with regular trash.
A patient tells the nurse that she is extremely unhappy at her job and she doesn't know what to do. Using Rogerian therapeutic techniques, how might the nurse respond?
1. "Let's make a plan for how you can handle this situation." 2. "This situation sounds really awful. I think you should quit." 3. "Tell me more about what is happening and how it makes you feel." 4. "You really need to think about whether you are contributing to the difficulties you are having."
The physician is discussing an older person who has just had a stroke. He says that he will try to give t-PA to minimize the ischemic penumbra. What does this tell you?
a. he believes the person will die b. he believes the person has had a hemorrhagic stroke that can be helped by medication c. he believes the person has had a stroke from a clot which, if eliminated, may result in less damage d. he doesn't know what he is talking about
A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the:
1. Concentration will produce therapeutic effects 2. Concentration will produce an adverse response 3. Time between doses must be shortened 4. Duration of action of the drug is too long