A 2-year-old patient is being admitted to the outpatient surgery for a tonsillectomy. Which will provide the best primary source of information for what comforts the patient when stressed?
a. Patient chart
b. Patient
c. Parents
d. Surgeon
C
Family members and significant others are primary sources of information for infants, children, critically ill adults, patients with mental handicaps, or patients who are unconscious or have reduced cognitive function. The patient is too young. The patient's chart is a source but not a primary source. The parents are a better source than the surgeon.
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An infant with a history of diarrhea and poor feeding for 2 days is admitted to a CCU. The infant has progression of coolness toward the trunk, prolonged capillary refill, and moderate tachycardia and is somewhat difficult to arouse
What additional assessment data should the nurse collect first? A) Cardiac monitor pattern B) Serial blood pressure C) Deep tendon reflexes D) Status of anterior fontanelle
A gravida 7, para 6 woman is in the hospital only 15 minutes when she begins to deliver precipitously. The fetal head begins to deliver as you walk into the labor room. Your best action would be to
A) place a hand gently on the fetal head to guide delivery. B) ask her to push with the next contraction so delivery is rapid. C) assess blood pressure and pulse to detect placental bleeding. D) attach a fetal monitor to determine fetal status.
A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an infant with GER. The purpose of this is to:
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Which statement made by a client with AIDS indicates that the client is exhibiting symptoms associated with acute psychotic-type dementia?
1. "I move more slowly than I used to." 2. "I don't enjoy being with others anymore." 3. "I'd like to stop the voices I hear in my head." 4. "I can't always remember where I put things."