A nurse is preparing to initiate a continuous tube feeding, using a tube-feeding pump. On bringing the pump to the bedside and preparing to plug the pump in, the nurse discovers that there is no available plug in the wall socket. What should the nurse do?
A. Plug in the pump cord into an available plug above the sink
B. Ask the physician to change the prescription to intermittent feedings
C. Determine the need for the appliances now plugged into the needed wall socket
D. Use a regular extension cord to allow the use of more than one electrical appliance
Ans: C. Determine the need for the appliances now plugged into the needed wall socket
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The nurse identifies a heart murmur in an adult client. Which of the following age-related changes would be the most likely cause?
A) Stiffness of heart valves B) Stretching and dilation of veins C) Decreased elasticity of the heart muscle D) Arterial stiffening
To identify the duration of a contraction, the nurse would:
1. Start timing from the beginning of one contraction to the completion of the same contraction. 2. Time between the beginning of one contraction and the beginning of the next contraction. 3. Palpate for the strength of the contraction at its peak. 4. Time from the beginning of the contraction to the peak of the same contraction.
A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care?
a. Use an 18-gauge needle if possible. b. Show the child the equipment to be used before the procedure. c. If not successful after four attempts, have another nurse try. d. Restrain the child completely.
The home care nurse is planning to make a home visit to see a 6-month-old baby. For which reasons would home care be indicated for this child? (Select all that apply.)
A) Wellness visit B) Chronic condition C) Postoperative care D) Systemic infection E) Follow-up after vaccinations