A 2-year-old child is scheduled for a tonsillectomy. When determining the plan of care, the nurse should:
a. Include the parents or caregivers in the plan of care
b. Explain to the child that she will have a sore throat after surgery
c. Tell the child that she can have her favorite foods for the first 24 hours after surgery
d. Prepare the child for discharge from the hospital as soon as she is alert
ANS: A
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The nurse is preparing for a certification course in skin care and needs to be familiar with the various lesions that may be identified on assessment of the skin. Which of the following definitions are correct?
Select all that apply. a. Petechiae: Tiny punctate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple, or brown in color b. Bulla: Elevated, circumscribed lesion filled with turbid fluid (pus) c. Papule: Hypertrophic scar d. Vesicle: Known as a friction blister e. Nodule: Solid, elevated, and hard or soft growth that is larger than 1 cm
Early signs of renal failure, like increased BUN and serum creatinine, occur when
A) 20 to 30% of renal function is lost. B) 30 to 40% of renal function is lost. C) 40 to 50% of renal function is lost. D) 50 to 60% of renal function is lost.
The nurse is making an initial visit to a postpartum family's home. The mother states that she is having difficulty with breastfeeding. Which resource should the nurse tell the family about?
1. The lactation consultant at the hospital 2. Free immunizations through the county public health department clinics 3. Sources of free formula at a local food pantry 4. A support group for mothers who are experiencing postpartum depression
The nurse is contributing to the plan of care for a patient who has a diagnosis of chest pain of 7 hours duration
The laboratory tests reveal an elevated troponin I and myoglobin level. What action would be appropriate in providing care to this patient? (Select all that apply.) a. Provide bedpan for elimination. b. Offer regular diet with hot tea. c. Provide rest in bed or chair. d. Elevate head of bed.