When the caregiver is frustrated and complaining of being overwhelmed, the nurse can assist by (select all that apply):
1. taking over the care.
2. referring the caregiver to a support group.
3. seeking assistance from a home health agency.
4. listening to the caregiver's concerns.
5. assisting in making a daily schedule for the caregiver to follow.
2, 3, 4, 5
Taking over the care is not a permanent solution. Seeking a helpful support group, listening, seeking assistance from a home health agency, and making a daily schedule to help the caregiver identify duties that can be put aside are all helpful in coping with stress.
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The school nurse is trying to prevent the spread of a flu virus through the school. Infection-control strategies that could be employed include:
1. Teaching parents safe food preparation and storage. 2. Withholding immunizations for children with compromised immune systems. 3. Sanitizing toys, telephones, and doorknobs to kill pathogens. 4. Not separating children with infections from well children.
The nurse monitors a client receiving peritoneal dialysis for signs of peritonitis. Which assessment finding should be reported to the physician?
1. Abdomen is tender to palpation. 2. Dialysate return is cloudy and yellow. 3. Skin is pale and dry. 4. Temperature is 36.8 °C.
You are assisting with assessments on a group of medical-surgical patients. What patient do you recognize as being at the highest risk for the development of osteomyelitis?
A) A middle-age adult who takes ibuprofen daily for rheumatoid arthritis B) An elderly patient with an infected pressure ulcer in the sacral area C) A 17-year-old football player who had orthopedic surgery 6 weeks prior D) An infant diagnosed with jaundice
Which assessment is most important for the nurse to perform before giving a patient who is prescribed levothyroxine (Synthroid) the first dose of the drug?
a. Measuring heart rate and rhythm b. Determining level of consciousness c. Asking about an allergy to "sulfa" drugs d. Checking intake and output for the last 24 hours