The nurse in the ER is caring for a family whose 3-year-old was hit by a car in front of their home. Which of the following is the most appropriate initial intervention for dealing with this family in crisis?
A) Identify the developmental stage of each family member
B) Share information, provide support, and respect methods of family coping
C) Develop goals you hope to see with this family
D) Detect which family functions are not being met
B
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When suctioning to remove secretions from an artificial airway, the nurse should limit the suction time to:
a. 1 minute. b. 5 seconds. c. 10 seconds. d. 15 seconds.
Sympathetic and parasympathetic nerves are part of which human nervous system?
a. autonomic c. peripheral b. central d. subnervous
The nurse is planning care for a patient with a thrombotic stroke in the distribution of the right middle cerebral artery
Which of the following nursing diagnoses would be the priority for care in the acute phase of this disease process? 1. decreased intracranial adaptive capacity 2. altered nutrition: less than body requirements 3. altered cerebral tissue perfusion 4. total self-care deficit
A febrile patient's mother asks the nurse why her daughter's breathing rate is increased. The nurse replies:
1. "It is normal for the fever to increase her metabolic rate. Because the heart and lungs work together, you see her breathing speed up along with her heart rate." 2. "It is quite normal for this to happen, so you can expect her respiratory rate to increase by 8 to 10 respirations per minute for each 1°F elevation in temperature." 3. "Breathing speeds up when the temperature is elevated to blow off some of the body heat." 4. "It is rare that respirations are affected by fever. We should be very concerned about this."