A child with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized. Which action should the nurse do first?
1. Place a continuous pulse oximetry monitor on the child.
2. Place the child in a room away from the nurse's station.
3. Allow for several visitors to remain at the child's bedside.
4. Use soft restraints if the child becomes confused.
1
Rationale:
1. When a child is sedated, respiratory status should be monitored with a pulse oximetry machine.
2. When a child is sedated, respiratory status should be monitored with a pulse oximetry machine. The child should be close to the nurse's station so that frequent monitoring can be done.
3. Several visitors at the bedside would increase the child's anxiety.
4. Soft restraints could increase agitation.
You might also like to view...
The nurse leader wishes to develop a culture of shared visioning for the health care organization. How should the nurse proceed with this plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. The leader should be a passive observer in meetings. 2. The leader should encourage a change to a more efficient top-down management system. 3. The leader should survey employees regarding what is important to them for the organization's future. 4. The leader should encourage innovative ideas. 5. The leader should use coercive primary power.
List the nursing actions in the correct sequence for a patient with an infiltrated IV. Separate letters by a comma and space as follows: A, B, C, D
A. Contact the physician. B. Inspect for signs of injury. C. Apply warm, moist compresses. D. Discontinue the infusion.
A psychiatric nurse is caring for a drug-addicted patient. The nurse knows that the ideal goal of drug rehabilitation for this patient is:
a. abstinence from the drug. b. decreasing episodes of relapse. c. minimizing drug cravings. d. reduction of drug use.
A nurse notes a blue sclera during a newborn assessment. The infant should be checked for:
1. Marfan syndrome. 2. Achondroplasia. 3. Osteogenesis imperfecta. 4. Muscular dystrophy.