When caring for a patient with latex allergy, the nurse creates a latex-safe environment by doing which of the following?
a. carefully cleaning the wall-mounted blood pressure device before using it.
b. donning latex gloves outside the room to limit powder dispersal
c. Using a latex-free pharmacy protocol
d. placing the patient in a semiprivate room
Ans: c. Using a latex-free pharmacy protocol
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A patient comes into the emergency department with complaints of abdominal pain that have become very severe. Which observation would the nurse evaluate as supporting the tentative diagnosis of acute pancreatitis?
1. The patient is most comfortable sitting on the side of the bed with arms extended back and legs dangling. 2. The patient is most comfortable lying flat in bed. 3. The patient is most comfortable lying on left side, knees pulled up to the chest. 4. The patient is only comfortable while walking around the perimeter of the room with arms wrapped around the abdomen.
The nurse observes an infant interacting with his parents. Which of the following are normal social behavioral developments for this age group? Select all answers that apply
A) Around 5 months the infant may develop stranger anxiety. B) Around 2 months the infant exhibits a first real smile. C) Around 3 months the infant smiles widely and gurgles when interacting with the caregiver. D) Around 3 months the infant will mimic the parent's facial movements, such as sticking out the tongue. E) Around 3 to 6 months of age the infant may enjoy socially interactive games such as patty-cake and peek-a-boo. F) Separation anxiety may also start in the last few months of infancy.
When completing a Preparation for Practice exercise, the learner would utilize which of the following forms for applying the nursing process to a specific patient situation?
1. Concept map 2. Kardex 3. Summary of hospitalization 4. Laboratory results
The nurse is assessing a toddler who is small in stature and seems mildly developmentally delayed
His eyelid folds are short and his nose is flat. What do the toddler's characteristics suggest is the best advice the nurse can give this mother about a future pregnancy? A) Refrain from drinking alcohol three months before trying to get pregnant B) It's important to add iron and vitamin B supplements to your diet C) It would be good to stop smoking before getting pregnant D) It's important to keep insulin levels controlled during pregnancy