A premature infant is admitted to the Neonatal Intensive Care Unit. The infant is in critical condition, and the outcome is questionable. Nursing behaviors that will promote visitation include:
1. Explaining to the parents that everything possible is being done for their infant.
2. Smiling at the parents and making them welcome when they come to visit.
3. Allowing alone time with their infant when they visit.
4. Introducing the parents to the other parents visiting their babies.
2
Rationale 1: This reassurance will not increase parental visits.
Rationale 2: When parents feel they are not "strangers" in the unit, they will be more likely to visit.
Rationale 3: Avoidance of the parents will not make the parents want to visit more often.
Rationale 4: It is appropriate to encourage parents to meet other parents, but this will not increase the parents' willingness to visit.
Global Rationale:
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When the nurse is collecting a specimen for a wound culture, the specimen should never be collected from:
a. a dressing. b. deep in the wound. c. the outer edge of the wound. d. old drainage.
The blood pressure and pulse rates for a client admitted last night with a compound fracture of the
femur sustained in a fall while intoxicated, are recorded as follows: admission 2 AM, 122/80 mm Hg and 72 beats/min 4 AM, 126/78 mm Hg and 76 beats/min 6 AM, 124/80 mm Hg and 72 beats/min 8 AM, 132/88 mm Hg and 80 beats/min 10 AM, 148/88 mm Hg and 96 beats/min The priority action for the nurse to take is to a. encourage the client to drink plenty of liquids. b. obtain a clean-catch urine sample. c. place the client in a vest-type restraint. d. notify the physician.
An outpatient's daughter has been using a diary to track the appearance of her mother's decubitus ulcer when the daughter performs the daily dressing change
The patient has been newly consented for participation in the trial of a new product presumed to accelerate healing and prevent infection. The researcher instructs the daughter in use of the new product and the use of a scale for tracking the ulcer's healing. Scale items are change in total area (width times depth), drainage color, surrounding tissue integrity, pain, and smell. What are the advantages of using a scale instead of a diary? (Select all that apply.) a. It reduces all items to a Likert scale. b. It makes wound care easier. c. It forces a level of precision that may or may not be present in a diary. d. It produces numerical data that the researcher can easily analyze in order to provide evidence of difference between the new method and the old method. e. It makes sure that subjects all will have daily recordings of the variables the researcher intends to measure.
The nurse is removing the client's staples from an abdominal when the client cough continuously and the incision splits open exposing the intestines. Which of the following is the immediate nursing action of the nurse?
A) Call the surgeon to come to the client's room immediately B) Have all visitors and family member leave the room C) Press the emergency alarm to call the resuscitation team D) Cover the abdominal organs with sterile dressing moistened with sterile normal saline.