The parents of a hospitalized 2-year-old need to leave the unit for a couple of hours to get some sleep. The nurse should:
a. Tell the parents that one of them should remain with the child
b. Instruct the parents to leave while the baby is distracted
c. Tell the toddler that the parents are leaving, but will be back after lunch
d. Leave the toddler alone to cry himself to sleep
C
Parents occasionally need to take a break. Do not encourage the parents to sneak out. This will damage the trust relationship and further traumatize the child. The nurse should provide comfort while the parents are gone.
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To estimate an individual's frame size, the examiner should measure:
a. skull circumference. b. the length from the olecranon process to the acromion process. c. elbow breadth. d. hip circumference.
The nurse is teaching the family of a client diagnosed with dementia about the disease process. Which of the following teaching points accurately describe this mental alteration?
A) Dementia is a normal part of aging. B) Dementia is not any specific disease or disorder. C) Dementia does not cause personality changes. D) Dementia does not affect level of consciousness.
The nurse assesses an open area over a patient's greater trochanted that is approximately 10 cm in diameter. The tissue around the area is edematous and feels boggy. The edges of the wound cup in toward the center. Which additional findings would indicate to the nurse that this is a Stage IV pressure ulcer:
a) The crater extends into the subcutaneous tissue b) The joint capsule of the hip is visable
The client asks what the difference is between dalteparin (Fragmin) and heparin. What is the nurse's best response?
a. "There is no real difference. Dalteparin is preferred because it is less expensive." b. "Dalteparin is a low-molecular-weight heparin that is more predictable in its effect and has a lower risk of bleeding." c. "I'm not sure why some health care providers choose dalteparin and some heparin. You should ask your doctor." d. "The only difference is that heparin dosing is based on the client's weight."