A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure?
a. Child's birth weight
b. Age at which he crawled
c. Whether the child has had the measles
d. Child's reactions to previous hospitalizations
ANS: D
How the child reacted to previous hospitalizations and any complications should be assessed. If the child reacted poorly, then he or she may be afraid now and will need special preparation for the examination that is to follow. The other items are not significant for the procedure.
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The critical care nurse is caring for a patient with acute renal failure in the oliguric phase. The nurse will closely monitor the patient for which commonly experienced electrolyte imbalance?
A) Hyperkalemia B) Hypercalcemia C) Hyperlipidemia D) Hyperbilirubinemia
A patient is taking a calcium channel blocker (CCB) for stable angina. The patient's spouse asks how calcium channel blockers relieve pain. The nurse will explain that CCBs:
a. help relax peripheral arterioles to reduce afterload. b. improve coronary artery perfusion. c. increase the heart rate to improve myo-cardial contractility. d. increase the QT interval.
Which action by nurse managers and/or staff will positively impact the nursing shortage?
1. Focus on the recruitment of middle school and high school students, men, and minorities to the nursing profession. 2. Work towards shorter hospital stays, resulting in decreasing need of nurses in acute care settings. 3. Encourage current nursing faculty members to return to work in positions working directly with clients instead of with students. 4. Increase nursing wages.
The client has chest tubes in place following thoracic surgery. In working with a client who has a chest tube, the nurse should:
1. Clamp the tubes except during client assessments 2. Remove the tubing from the connection to check for adequate suction power 3. Milk or strip the tubes every 15 to 30 minutes to maintain drainage 4. Coil and secure excess tubing next to the client