A pediatric nurse is doing her initial shift assessments on assigned patients. One of the patient's is a toddler with pneumonia. How would the nurse assess this patient's skin turgor?
A) Pinch a fold of skin on the patient's abdomen
B) Pinch a fold of skin on the patient's cheek
C) Pinch a fold of skin on the patient's upper thigh
D) Pinch a fold of skin on the patient's forearm
D
You might also like to view...
While completing an admission examination on a critically ill patient, the nurse examines the patient's oral cavity. What is the best rationale for this examination?
A) Oral lesions can prevent adequate nutrition B) Part of routine admission assessment C) Appropriate only if the patient has facial trauma D) Can be done quickly
The patient being evaluated for a heart transplant asks the nurse what the survival rate is. Which is the correct response by the nurse?
a. "I'm not really sure. It is better if you ask your surgeon." b. "Every patient has different circums-tances, but the average 5-year survival rate is 70%." c. "The survival rate is excellent. Almost all patients with a heart transplant live past 10 years." d. "There are not any really good statistics for me to give you an accurate estimate."
What is your teaching priority for the client who will be using oxygen therapy at home via an H cylinder?
A. Keeping the tubing free of condensation B. Explaining that the client should avoid crowds C. Ensuring that adequate humidification is available D. Reinforcing that the cylinder must be secured in a stand or a rack
A parent is overheard telling a child to behave in order to get an ice cream cone later. What should the nurse realize is occurring with the parent?
A. Frustration with the child's behavior B. Hunger as a motivating factor C. Rewarding behavior with food D. Anxiety due to parenting