The nurse is asked to teach injury prevention measures to a classroom of 4-year-old preschoolers. Which teaching points are most appropriate at this age?
1. Stop, drop and roll if clothes catch fire
2. Never go into the road alone.
3. Acceptable places for climbing
4. Safe meeting place outside the house in case of fire
5. Car seat safety
Correct Answer: 1,2,4,5
Rationale: Acceptable places to climb should be introduced in the toddler years when children are learning to walk, climb, and explore. It is not a topic for a preschool class. All the other topics are appropriate for this age.
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A child has had a closure device inserted in interventional radiology for an atrial septal defect (ASD). Two hours later the child is pale, tachycardic, and hypotensive. Which action by the nurse takes priority?
A. Administer a beta blocker to slow the heart rate down. B. Document findings then notify the health-care provider. C. Increase the rate of the IV fluid administration. D. Prepare the child to return to interventional radiology.
Which of the following critical thinking attitudes contributes to an effective nurse-client rela-tionship? (Select all that apply.)
1. Fairness 2. Guarded 3. Curiosity 4. Creativity 5. Perseverance 6. Self-confidence
A 5-foot, 6-inch, 25-year-old female who weighs 120 pounds walks 5 miles a day because she has a long family history of early death from heart attacks and is refraining from a sedentary lifestyle. Which of the following best describes this example behavio
a. Health promotion b. Illness prevention c. Health maintenance d. Health protection
Your patient was a passenger in a motor vehicle crash yesterday and suffered an open fracture of the femur. His condition was stable until an hour ago, when he began to complain of shortness of breath. His heart rate is 104/minute, respiratory rate is 30/minute, B/P is 90/60 mm Hg, and temperature is now 38.4°C. You suspect that he:
A. has a fat embolism. B. has developed metabolic acidosis. C. is developing systemic inflammatory response syndrome D. is experiencing early multisystem organ failure.