The nurse is caring for a preschool-age child who is used to being able to get out of bed at any time. Which restraint would be the most appropriate for the nurse to ensure the child remains on bed rest?
A) Mummy restraint
B) Clove hitch restraint
C) Elbow restraint
D) Jacket restraint
Ans: D
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The nurse carefully measures drainage during the first 24 hours after surgery on a patient with a Jackson-Pratt drain. It is considered abnormal if the drainage exceeds:
a. 50 mL. b. 100 mL. c. 200 mL. d. 300 mL.
A nurse is emptying an orthopedic surgery patient's closed suction drainage at the end of a shift. The nurse notes that the volume is within expected parameters but that the drainage has a foul odor. What is the nurse's best action?
A) Aspirate a small amount of drainage for culturing. B) Advance the drain 1 to 1.5 cm. C) Irrigate the drain with normal saline. D) Inform the surgeon of this finding.
A woman is having her first child. She has been in labor for 15 hours. Two hours ago, her vaginal examination revealed the cervix to be dilated to 5 cm and 100% effaced, and the presenting part was at station 0
Five minutes ago, her vaginal examination indicated that there had been no change. What abnormal labor pattern is associated with this description? a. Prolonged latent phase b. Protracted active phase c. Secondary arrest d. Protracted descent
Which of the following findings indicates a possible gonococcal infection?
a. Bulging of the anterior or posterior vaginal wall b. Discharge from urethra or Skene glands c. Irregular urethral orifice in midline d. Irregular vaginal edges at introitus