In planning nursing care, the nurse knows that she will need to provide an abduction pillow for which patient?
a. A patient who will be immobilized for a long time
b. A patient who has undergone repair of a fractured right arm
c. A patient who is post hip replacement surgery
d. A patient who has a severely sprained ankle
C
The abduction splint or pillow, used after hip replacement surgery, maintains the patient's legs in an abducted position. This permits the patient to be turned without changing the position of the healing limb, and prevents dislocation of the hip prosthesis.
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A toddler is brought to the clinic with a low-grade fever and the mother describes a grunting sound made by the child on expiration. The respiratory rate is 24 breaths/minute. What action by the nurse is most appropriate?
A. Assess nose and throat for foreign bodies. B. Facilitate a stat chest x-ray. C. Obtain an oxygen saturation; notify provider. D. Weigh and measure child then calculate BMI.
Without authorization, a nurse administers an extra dose of narcotic tranquilizer to an agitated client. The nurse's coworker observes this action but does nothing for fear of retaliation
What is the ethical interpretation of the coworker's lack of involvement? 1. Taking no action is still considered an unethical action by the coworker. 2. Taking no action releases the coworker from ethical responsibility. 3. Taking no action is advised when potential adverse consequences are foreseen. 4. Taking no action is acceptable, because the coworker is only a bystander.
A mother has called the triage nurse to find out which fluids she should give her son that has been vomiting for the last 12 hours. Identify the fluid that would be appropriate to give the child
1. Water 2. Red Kool-Aid 3. Diet Cola 4. Red or orange Gatorade
Usually it takes approximately ___ years of heavy drinking of the equivalent of a pint or more of whiskey a day to develop cirrhosis of the liver.
a. 20 b. 10 c. 30 d. 40