When recording the findings of muscle strength, a nurse records a 2 for the right arm. How should his score be interpreted?
a. Weak contraction
b. Muscle movement when supported
c. Active muscle movement without support
d. Full, active range-of-motion exercises against resistance
B
A 2 on the muscle-grading scale means that muscular movement is observed when the limb is supported.
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A 5-year-old child asks the nurse what happens at the hospital in which the nurse works. Which of the following statements would be the most appropriate response for the nurse to give this child?
A) "Remember? It's where your mom came to get your baby brother." B) "People come there when they have a bad accident and we fix them." C) "Some people come here to have babies, or when they're sick or hurt, so we can try to help them get better." D) "It's like a big doctor's office."
A nurse is caring for a hospitalized child who is receiving a continuous infusion of intravenous (IV) potassium for the treatment of dehydration. The nurse monitors the child closely and noti-fies the physician if which of the following is noted?
1. Weight increase of 0.5 kg 2. Temperature of 100.8ยบ F rectally 3. Blood pressure (BP) unchanged from baseline 4. A decrease in urine output to 0.5 mL/kg/hr
The nurse is concerned about potential substance abuse by a coworker. What behavior should be further investigated?
A. The coworker declines to take scheduled breaks. B. The coworker frequently requests the largest patient care assignment for the shift. C. The coworker frequently wastes medications. D. The coworker prefers not to be the "medication nurse" on the shift.
Which of the following statements most accurately conveys the relationship between systematic reviews and clinical practice guidelines?
A) Clinical practice guidelines are a more reliable and valid source of guidance than systematic reviews. B) In the absence of a relevant and current systematic review, clinicians should base their practice on available clinical practice guidelines. C) Clinical practice guidelines normally integrate the results of systematic reviews into their recommendations. D) Clinical practice guidelines and systematic reviews are largely synonymous.