An infant is hospitalized for RSV bronchiolitis. Which type of precautions would the nurse use when caring for the infant?
a. Large-droplet infection precautions
b. Airborne-infection precautions
c. Contact precautions
d. Protective precautions
ANS: C
Contact precautions are used when the condition transmits organisms via skin-to-skin contact or indirect touch of a contaminated fomite.
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The nurse is supportive of the frustrated patient with expressive aphasia because the condition is characterized by (select all that apply):
1. speech that sounds normal, but makes no sense. 2. total inability to communicate. 3. difficulty understanding the written and spoken word. 4. stuttering and spitting. 5. difficulty initiating speech.
Which menu choice indicates that the patient is implementing plans to choose high-calorie, high-protein foods?
a. Baked fish with applesauce b. Beef noodle soup and canned corn c. Fresh fruit salad with yogurt topping d. Fried chicken with potatoes and gravy
A nurse is assessing an 11-monthold infant and notes that the infant's height and weight are at the fifth percentile on the growth chart
Family history reveals that the two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority? 1. Alteration in Growth Pattern relatedto parental anxiety 2. Alteration in Growth Patternsecondary to familial short stature 3. Nutritional Intake:Excessivesecondary to maternal feeding patterns 4. At Risk for Constitutional GrowthDelay related to decreased appetite
A nurse facilitating a social skills group recognizes that one patient monopolizes the group
After the session the psychologist asks the nurse, "Why did you let that patient monopolize the group?" A response from the nurse using appropriate assertiveness would be: a. "I didn't know what I was supposed to do. You could see how much the patient needed to control the meeting. So you don't think it was appropriate to let it be for today?" b. "I didn't let the patient monopolize the group. I wasn't sure if I ought to stop the behavior or let the patient talk. What could I have said to end the patient's monopolizing of the group?" c. "Honestly, I never feel you are satisfied with my work. Why don't you lead the group next time? That will give me an opportunity to observe you appropriately managing the patient's need to monopolize the group.". d. "I felt that the patient needed to express feelings and that the control was a rather tenuous one that required sensitivity and patience. I believe the other patients felt that, too, which is why they let the patient monopolize the group.".