The nurse is developing a plan of care for an infant being admitted with hypertrophic pyloric stenosis who is scheduled for pyloromyotomy. In the preoperative period, the nurse suggests to document in the plan of care to position the child:
1. In an infant seat placed in the crib
2. Prone with the head of the bed elevated
3. Supine with the head at a 90-degree angle
4. Supine with the head of the bed at a 30-degree angle
2
Rationale: In the preoperative period, the infant is positioned prone with the head of the bed el-evated to reduce the risk of aspiration. "In an infant seat placed in the crib," "supine with the head at a 90-degree angle," and "supine with the head of the bed at a 30-degree angle" are inap-propriate positions for preventing this risk.
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A nurse is caring for a patient who requires long-term management for severe pain. What should be the drug of choice for this patient?
a. Aspirin b. Morphine c. Oxycodone d. Acetaminophen
The nursing diagnosis more relevant for a client with anorexia nervosa who restricts intake and is
20% below normal weight than for a 130-pound client with bulimia nervosa who purges is a. powerlessness. b. disturbed body image. c. imbalanced nutrition: less than body requirements. d. ineffective coping.
The nurse is caring for a patient with a small chronic pressure ulcer on the ankle. Which activity can the nurse delegate to nursing assistive personnel (NAP)?
a. Measure the wound for length, width, and depth. b. Reposition the patient at least every 2 hours. c. Ask the patient to rate the pain during the dressing change. d. Examine the wound bed for the type and amount of tissue.
The nurse knows that the American Nurses Association (ANA) adopted its first code of ethics in
a. 1893. b. 1896. c. 1950. d. 1969.