Nursing care for the child in congestive heart failure includes which action?
a. Counting the number of saturated diapers
b. Putting the infant in the Trendelenburg position
c. Removing oxygen while the infant is crying
d. Organizing care to provide rest periods
D
Nursing care should be planned to allow for periods of undisturbed rest. Diapers must be weighed for an accurate record of output. The head of the bed should be raised to decrease the work of breathing. Oxygen should be administered during stressful periods such as when the child is crying.
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The initial evaluation and admission visit is made by an RN, who has been provided with general orders by a physician before the visit. This visit must be made within how many hours of the referral?
a. 4 to 8 b. 12 to 15 c. 18 to 24 d. 24 to 48
The local health department nurse manager has developed and implemented a disaster readiness plan as part of a community service. Community services:
a. Care for the specific needs of individual families in the community. b. Focus on the treatment of communi-ty-wide problems rather than on individual health problems. c. Do not include services provided by pub-lic health departments. d. Provide personal health follow-up for all acute care hospitalizations.
A nurse at an immunization clinic is providing vaccines to children. The parent of a child waiting to receive vaccines tells the nurse that the child has an immune deficiency disorder
The nurse understands that which vaccine should not be administered to this child? a. Diphtheria and tetanus toxoids and acel-lular pertussis (DTaP) vaccine b. Haemophilus influenzae type b (Hib) vac-cine c. Polio injection d. Varicella virus vaccine
An older patient who is dying has complained of ongoing pain for several days. What is the best way for this patient's pain to be treated at the end of life?
1. Give immediate-release medications routinely. 2. Refrain from administering pain medication at end of life. 3. Administer maximum doses of long and short-acting pain medication routinely. 4. Give long-acting medications routinely and immediate-release doses with breakthrough pain.