A child has just been unexpectedly admitted to the intensive care unit after abdominal surgery. The nursing staff has completed the admission process, and the child's condition is beginning to stabilize
When speaking with the parents, the nurses should expect which stressors to be evident? (Select all that apply.)
a. Unfamiliar environment
b. Usual day-night routine
c. Strange smells
d. Provision of privacy
e. Inadequate knowledge of condition and routine
ANS: A, C, E
Intensive care units, especially when the family is unprepared for the admission, are a strange and unfamiliar place with many pieces of unfamiliar equipment. The sights and sounds are much different from those of a general hospital unit. Also, with the child's condition being more precarious, it may be difficult to keep the parents updated and knowledgeable about what is happening. Lights are usually on around the clock, seriously disrupting the diurnal rhythm. There is usually little privacy available for families in intensive care units.
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The nurse is preparing to assess the client's dorsalis pedis pulse. Which location will the nurse palpate to assess this pulse?
A. Lateral wrist.
B. Popliteal fossa.
C. Medial side of the dorsum of the foot.
D. Behind the medial malleolus.
A 75-year-old man who is largely bedridden is admitted to the dementia unit in a nursing home. One primary nursing care goal is to keep this resident free from infection
Which of the following actions is most likely to reduce his risk of infection? A) Maintaining his skin integrity. B) Assisting him with exercise. C) Counseling him against overuse of antibiotics. D) Monitoring him for atypical signs of infection.
The nurse observes the patient during a major abdominal dressing change. Which facets of pain can be observed by the nurse during this procedure?
1. Expressing behaviors 2. Pain 3. Nociception 4. Suffering
A nurse is reviewing the original work of the National Organization for Public Health Nursing. Which of the following accomplishments of today was started within this organization?
a. Requiring that public health nurses have a baccalaureate degree in nursing b. Standardizing public health nursing education c. Developing nursing cooperatives d. Opening the Henry Street Settlement