The nurse wants to calculate a patient's mean arterial pressure. Which vital sign measurement should the nurse use to make this calculation?
A. Blood pressure
B. Respirations
C. Temperature
D. Heart rate
Answer: A
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Family members are visiting a child who is mechanically ventilated and heavily sedated. The parents are visibly distressed. Which statement from the nurse is most appropriate?
A. "Her latest arterial blood gases show compensated acidosis." B. "I'm glad you are here; let me get you some chairs to sit in." C. "She is so heavily sedated that she will not know if you are here or not." D. "You can talk to and touch your child to let her know you are here."
The nurse assesses which patient as being at the highest risk for poisoning related to mixing garden chemicals?
a. The patient who has Parkinson disease with hand tremors b. The patient who has low vision or uses magnifying glasses c. The patient who has hearing impairment or wears hearing aid d. The patient who has osteoarthritis or using a wheeled walker
For a patient in the final stages of dying, a nurse expects to:
a. keep the patient's room cool. b. avoid catheterizing the patient. c. elevate the head of the bed as tolerated. d. encourage the patient to eat and drink more.
The nurse is conducting discharge teaching to parents of a preschool child with myelomeningocele, repaired at birth, being discharged from the hospital after a urinary tract infection (UTI)
Which should the nurse include in the discharge instructions related to management of the child's genitourinary function? (Select all that apply.) a. Continue to perform the clean intermittent catheterizations (CIC) at home. b. Administer the oxybutynin chloride (Ditropan) as prescribed. c. Reduce fluid intake in the afternoon and evening hours. d. Monitor for signs of a recurrent urinary tract infection. e. Administer furosemide (Lasix) as prescribed.