The primary successes in protecting the public's health have come primarily from which actions?
A. Creation of effective broad-spectrum antibiotics
B. National immunization campaigns to protect children
C. Growth of hospitals and medical and nursing schools in the twentieth century
D. Safe water and sewage systems as well as milk pasteurization
ANS: D
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The nurse administered morphine intravenously to a four-year-old postoperative patient. Thirty minutes later, the nurse assesses the child. Which assessment finding requires further evaluation?
1. Pulse decreased from 136 to 104 2. Blood pressure dropped from 110/72 to 90/55 3. Respiratory rate went from 42 to 16 4. Child pulls away from nurse who wants to assess surgical site
In your role as a school nurse, you are performing a sports physical on a healthy adolescent girl who is planning to try out for the volleyball team. When it comes time to listen to the student's heart and lungs, what is your best nursing action?
A) Perform auscultation with the stethoscope placed firmly over her clothing to protect her privacy. B) Perform auscultation by holding the diaphragm lightly on her clothing to eliminate the "scratchy noise." C) Perform auscultation with the diaphragm placed firmly on her skin to minimize extra noise. D) Defer the exam because the girl is known to be healthy and chest auscultation may cause her anxiety.
A nurse manager is leading an education session regarding disaster triage for emergency department nurses. Which statement should the manager include in this instruction?
1. "Follow your current triage system." 2. "Your triage system will be reversed during a disaster." 3. "Triage is not necessary during disasters." 4. "Your triage system will basically be first-come, first-served."
What technique should nurses use to auscultate the chest?
a. Pressing the bell firmly against the skin to hear sounds and vibrations b. Using the bell of the stethoscope to hear breath sounds c. Using the diaphragm of the stethoscope to heart sounds d. Using the same size stethoscope for adults and infants