The nurse is caring for a child who is on a cardiac monitor. Which actions would be the most important when caring for this child?
A) Clean the skin with alcohol before placing the electrodes
B) Confirm the alarms are set with maximum and minimum settings
C) Check the site and skin condition every couple of hours
D) Check to be sure that the electrodes are secure when the alarm sounds
Ans: B
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The nurse is caring for a client in active labor who is 8 centimeters dilated and who reports the need to push. The nurse instructs the client not to push until:
1. True contractions have begun. 2. The cervix is 9-10 cm dilated 3. The membranes have ruptured. 4. The cervix is fully dilated.
Passive communication results in:
1. Resolving problems in the long term 2. Positive feelings 3. Keeping the peace 4. Failure to move up Maslow's hierarchy
A client has returned from the recovery room after undergoing a urinary diversion. The nurse should monitor the stoma for:
1. blanching. 2. erosion of skin around the stoma. 3. decreased urine output. 4. blood in the urine.
After administering diphenoxylate to a client, the nurse would assess the client closely for increased CNS depression if the client was also receiving which medication? Select all that apply
A) Fexofenadine (Allegra) B) Glyburide (DiaBeta) C) Sucralfate (Carafate) D) Zolpidem (Ambien) E) Temazepam (Restoril)