The nurse is developing a plan of care for a child admitted with a diagnosis of Kawasaki disease. In developing the initial plan of care, the nurse includes to monitor the child for signs of:
1. Bleeding
2. Failure to thrive
3. Congestive heart failure (CHF)
4. Decreased tolerance to stimulation
3
Rationale: Nursing care initially centers on observing for signs of CHF. The nurse monitors for increased respiratory rate, increased heart rate, dyspnea, crackles, and abdominal distention. "Bleeding," "failure to thrive," and "decreased tolerance to stimulation" are not findings directly associated with this disorder.
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Specific medications that treat dissociative disorders include
1. lithium. 2. antibiotics. 3. psychotropics. 4. no specific medications.
The home health nurse cares for an alert and oriented older adult patient with a history of dehydration. Which instructions should the nurse give to this patient related to fluid intake?
a. "Increase fluids if your mouth feels dry. b. "More fluids are needed if you feel thirsty." c. "Drink more fluids in the late evening hours." d. "If you feel lethargic or confused, you need more to drink."
A client with hypertension is also diagnosed with type 2 diabetes mellitus. The client asks why the health care provider has prescribed an ACE inhibitor. Which response by the nurse is the most appropriate?
1. "It protects the kidneys." 2. "It protects the eyes." 3. "It protects the heart." 4. "It protects the nerves."
When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an example of:
A) Instilling hope and faith. B) Forming a human-altruistic value system. C) Cultural caring. D) Being with.