The nurse is using the acronym QUESTT to assess the pain in a preschool-age child. Which action is appropriate for the "S" in this acronym?
1) Sedating the child
2) Securing parental involvement
3) Sitting next to the child
4) Secluding the parents from the child
ANS: 2
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The nurse is caring for a client with a neurosensory disorder, and directs care toward the most important priority of:
1. Minimizing complications. 2. Maintaining airway and supporting breathing. 3. Encouraging maximum independence. 4. Repositioning to prevent alterations in skin integrity.
A patient was placed on an antitubercular drug because he tested positive for tuberculosis more than three times. The patient tells the nurse that the drug will completely kill the bacteria. Which should be the nurse's proper response?
a. "Yes, you are correct. That is the action of the medication." b. "No, the medication only controls the bacteria." c. "Yes, the medication covers the bacteria's cell growth." d. "No, the action of the medication is unknown."
A nurse is caring for a client diagnosed with sleep apnea. Which of the following nursing diagnoses should the nurse include in the client's nursing care plan?
A) Aspiration B) Impaired bed mobility C) Impaired gas exchange D) Risk for injury
Which nursing diagnosis is likely to be of highest priority when developing a nursing care plan for a client?
a. Impaired memory c. Diarrhea b. Ineffective denial d. Social isolation