The parents have requested to be present during their child's procedure. How should the nurse plan for this request?
1. Explain in detail, using medical terms, what will occur.
2. Explain to the family that it is not permitted for family members to be present.
3. Prepare family members for what they should anticipate and what is expected of them.
4. Prepare the family to speak with the physician.
3
Rationale 1: The nurse should not use medical terms to discuss the child's procedure.
Rationale 2: In most circumstances, it is not only permitted but desired to have the parents present during a procedure.
Rationale 3: Parents often want to support their child before and after procedures, and their presence offers reassurance and comfort to the child. Prepare family members for what to anticipate and what is expected of them.
Rationale 4: The nurse can speak to the family to prepare them and does not need to wait for the physician.
Global Rationale:
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The nurse's instruction to the patient for peristomal skin care should include: (Select all that apply.)
a. gently removing the faceplate of the ap-pliance to avoid skin irritation. b. washing the peristomal area vigorously to rid the skin of fecal waste. c. rinsing the area thoroughly. d. applying a skin barrier to the peristomal area. e. cutting the faceplate to allow a 1/2-inch opening around the stoma.
Concerning the respiratory development of the newborn, nurses should be aware that:
1. the first gasping breath is an exaggerated respiratory reaction within 1 minute of birth. 2. newborns must expel the fluid at uterine life from the respiratory system within a few minutes of birth. 3. newborns are instinctive mouth breathers. 4. seesaw respirations are no cause for concern in the first hour after birth.
The patient is recovering from a delivery that included a midline episiotomy. Her perineum is swollen and sore. The patient is asking for her ice pack to be refreshed. The best response from the nurse is:
1. "I'll get you one right away." 2. "You only need to use one ice pack." 3. "You need to leave it off for at least 20 minutes and then reapply." 4. "I'll bring you an extra so that you can change it when you are ready."
Two nurses are discussing health care in the past and the present. The two nurses know which to be true about health care in the present?
a. Health care in the present is mostly provided by nurses. b. Health care in the present is controlled by third party payers. c. Health care in the present is controlled by physicians. d. Health care in the present is dictated by the patient.