The nurse is providing postsurgical care for a 14-month-old girl following a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home
How should the nurse respond?
A) "I will help you become very comfortable providing your daughter's care."
B) "You must learn how to care for your daughter at home."
C) "You will need to learn to collaborate with all the caregivers."
D) "There is a lot to learn, and you need a positive attitude."
A
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A nurse is caring for a client on IV infusion of heparin. What actions does this nurse include in the client's plan of care? (Select all that apply.)
a. Assess the client for bleeding. b. Monitor the daily activated partial thromboplastin time (aPTT) results. c. Stop the IV for aPTT above baseline. d. Use an IV pump for the infusion. e. Weigh the client daily on the same scale.
The nurse is performing surgical hand hygiene prior to entering the surgical suite. The nurse is aware that this type of hygiene protects the client by:
1. sterilizing the nurse's hands. 2. promoting the growth of organisms. 3. leaving a residue on the hands that retards organism growth. 4. removing the necessity of wearing gloves during surgery.
The release of ________ is controlled by nerve reflexes.
A. growth hormone B. antidiuretic hormone C. luteinizing hormone D. adrenocorticotropic hormone
The nurse obtains vital signs on a patient with gastrointestinal bleeding who has a large, dark red, foul-smelling stool. Which of these vital sign changes should the nurse report as indicative of early shock?
a. Decreasing systolic blood pressure, bradycardia, and slow respirations b. Rise in diastolic blood pressure, bradycardia, and slow respirations c. Drop in diastolic blood pressure, bradycardia, and shallow respirations d. Normal blood pressure, tachycardia, and rapid respirations