A nurse caring for a pediatric patient is most likely to be perceived as nonthreatening by:
a. tightly crossing her arms.
b. maintaining an open posture.
c. maintaining a tense posture.
d. standing at the bedside.
B
Standing at the bedside looking down at the patient in the bed places the nurse in a position of authority and control. The patient is likely to experience this as intimidating and condescending. Whenever possible, the nurse should be level with the patient; this is especially important with pediatric patients. Sitting at the bedside in a relaxed and open posture is one example.
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While studying health care economics, the nursing professor explains to a class that the economic principle of opportunity costs means that
a. economic decisions are based on the best opportunity that arises. b. free market failure occurs when efficient use of resources is lacking. c. satisfying one desire eliminates the possibility of satisfying another. d. we make our decisions based on opportunities to benefit others.
What is the best technique for the nurse to use to ensure that an air embolus does not develop when changing the administration set on a central venous catheter?
A. Place the client in a flat, right side–lying position during the procedure. B. Have the client in a semisitting position to ensure that the catheter exit site is above the level of the heart. C. Have the client hold his or her breath and bear down while the old set is discon-nected and the new set is connected. D. Cap off the old set and remove it, attach a 10-mL syringe with sterile normal sa-line to the connector, then rapidly attach the new primed set to the catheter con-nection.
A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube. Which action should the nurse include in the plan of care in collaboration with the speech therapist?
a. Leave the tracheostomy inner cannula inserted at all times. b. Place the decannulation cap in the tube before cuff deflation. c. Assess the ability to swallow before using the fenestrated tube. d. Inflate the tracheostomy cuff during use of the fenestrated tube.
A patient has been taking warfarin (Coumadin) for atrial fibrillation. The provider has ordered dabigatran etexilate (Pradaxa) to replace the warfarin. The nurse teaches the patient about the change in drug regimen
Which statement by the patient indicates understanding of the teaching? a. "I may need to adjust the dose of dabigatran after weaning off the warfarin." b. "I should continue to take the warfarin after beginning the dabigatran until my INR is greater than 3." c. "I should stop taking the warfarin 3 days before starting the dabigatran." d. "I will stop taking the warfarin and will start taking the dabigatran when my INR is less than 2."