A patient is receiving tube feeding. The nurse instructs you to position the patient in Fowler's position. This means the
A. head of the bed is elevated 20° to 30°.
B. patient is on his side with knees flexed.
C. head of the bed is elevated 45° to 60°.
D. knee rest should be elevated and the head flat.
Answer: C
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The patient has been exposed to significant levels of carbon monoxide. What component of blood does the nurse most need to examine for adverse effects?
A) Plasma volume B) Neutrophil count C) Hemoglobin saturation D) Arterial plasma pH
The nurse receives a patient from the emergency department following a closed head injury
After insertion of an ventriculostomy, the nurse assesses the following vital signs: blood pressure 100/60 mm Hg, heart rate 52 beats/min, respiratory rate 24 breaths/min, oxygen saturation (SpO2) 97% on supplemental oxygen at 45% via Venturi mask, Glasgow Coma Scale score of 4, and intracranial pressure (ICP) of 18 mm Hg. Which physician order should the nurse institute first? a. Mannitol 1 g intravenous b. Portable chest x-ray c. Seizure precautions d. Ancef 1 g intravenous
The nurse is working with the caregivers of a child who is 2-1/2 years old. The nurse advises the caregivers that it is important for the child to know what it feels like to have a wet diaper. This advice was given because of which rationale?
a. The nurse is acting on an old wives' tale and has no rationale. b. Children need to know the connection between being wet and being changed by a caregiver. c. Children have to be able to tell a caregiver they are wet before they can be successfully toilet trained. d. This is an important sensory experience for maximum development of brain potential.
Which of the following conditions is the most common cause of congestive heart failure in infants?
a. cardiomyopathy c. congenital heart disease b. endocarditis d. myocarditis