The nurse recognizes the signs of air hunger in an infant with a mixed CHD, which include: (Select all that apply.)
a. Increasing irritability
b. Vomiting
c. Twitching
d. Restlessness
e. Weak, hoarse cry
A, D, E
Signs of air hunger in the infant are increasing irritability and restlessness, a weak, hoarse cry, and respirations over 60 breaths per minute.
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A pediatric nurse is caring for a 1-year-old child who is in a spica cast. The nurse teaches the parents that modifications need to be made for this child. Which modification does the nurse teach?
A. Using a baby bath with shallow water to clean the child B. Using a car seat with sturdy sides to transport the child C. Using a sitting position on the floor to feed the child D. Using a wagon instead of a stroller to move the child
A trauma patient has just been sedated, intubated, and placed on mechanical ventilation. The nurse documents the patient's pain level as 9 on the 1-10 scale. How should this action be interpreted?
1. The patient should receive the highest dose of analgesic medication ordered. 2. The nurse has inappropriately scaled the patient's pain. 3. The nurse should wait until the patient has adapted to the mechanical ventilator before scaling the level of pain. 4. Pain will decrease now that the patient does not have to work to breathe.
The child has had a peaceful death. The nurse's next responsibility is to:
a. Prepare body for viewing b. Change the bed c. Remove some of the medical equipment d. All of the above
Leaders and managers often exercise power differently. Select the powers frequently used by leaders as represented by these clinical situations. Select all that apply
1. The clinical specialist suggests changing the type of dressing. 2. The night shift nurse is the vice president's niece. 3. The nurse manager asks a nurse to work more than 2 hours. 4. The charge nurse knows who has to take calls over the holiday weekend. 5. The day shift nurse has frequently been awarded "nurse of the year."