A girl comes from a large family that you analyze as being extended. In planning hospital care for her, which factor would be most important for you consider?
A) Restricting visitors to reduce the noise level
B) Organizing nursing care at times other than visiting hours
C) Asking the hospital's visitor program to call on her to prevent loneliness
D) Spending increased time with her yourself to prevent loneliness
B
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The pediatric nurse assessing a patient for breath sounds documents a loud, high-pitched sound heard only over the trachea. The nurse should document this finding as which of the following?
A. Adventitious breath sound B. Bronchial breath sound C. Bronchovesicular breath sound D. Vesicular breath sound
The nurse is preparing to administer medications to a patient admitted with a left total knee replacement (TKR). As part of the preadministration assessment, the nurse would first
a. administer the medications with a full cup of water. b. check the patient's arm band for allergies. c. monitor the patient for toxicity. d. perform a physical assessment.
A nurse is reviewing the history and physical of a teenager admitted to a hospital with a diagnosis of ulcerative colitis. Based on this diagnosis, which information should the nurse expect to see on this client's medical record?
A. Abdominal pain and bloody diarrhea. B. Weight gain and elevated blood glucose. C. Abdominal distention and hypoactive bowel sounds. D. Heartburn and regurgitation.
Which theory of etiology of Alzheimer's disease, suggested by current research, might the nurse use to help a family understand that this disorder is not of psychosocial origin? Alzheimer's disease is associated with:
a. Abnormal serotonin reuptake b. Prion infection of gray matter c. ß-Amyloid protein deposits in the brain d. Excessive acetylcholine in the frontal cortex