An 18-year-old who was raped at a fraternity party was brought to the Emergency Department for treatment. The client looks confused and disoriented. Which intervention by the nurse may facilitate communication?
A) Making decisions for the client since confusion and disorientation make decision-making difficult
B) Providing reassurance that everything will be fine
C) Asking specific questions about the rape to get an accurate history of events
D) Providing support as the client tries to understand how this incident happened
D
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Which statement regarding nursing interventions should a nurse identify as accurate?
1. Nursing interventions are independent from the treatment team's goals. 2. Nursing interventions are solely directed by written physician orders. 3. Nursing interventions occur independently but in concert with overall treatment team goals. 4. Nursing interventions are standardized by policies and procedures.
When educating the parents of a child who has just had tympanostomy tube insertion, the nurse should provide further teaching if the parents say which of the following statements?
A) "I will call the physician if I see that the tube has come out." B) "I will be looking for any drainage coming from the ears." C) "I'm so glad that we can take the child swimming next week when we go on vacation." D) "I'm so glad we had the child tested for allergies prior to having these tubes placed."
Following referral from a family doctor, a 3-year-old boy has been brought to the oncology clinic. The parents express that the patient has been experiencing fatigue, lethargy, and a low-grade fever for the past two weeks
On assessment, the pediatric nurse notes that the patient appears pale and has some abdominal distension. The nurse recognizes that the child's symptoms are most likely related to a diagnosis of: A) acute lymphocytic leukemia. B) chronic lymphocytic leukemia. C) acute myelogenous leukemia. D) chronic myelogenous leukemia.
When liquid medication is given to a crying 10-month-old infant, which approach minimizes the possibility of aspiration?
a. Administer the medication with a syringe (without needle) placed along the side of the infant's tongue. b. Administer the medication as rapidly as possible with the infant securely restrained. c. Mix the medication with the infant's regular formula or juice and administer by bottle. d. Keep the child upright with the nasal passages blocked for a minute after administration.