The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old. What strategy should this nurse plan?
A)
Tell the child that the medication tastes good.
B)
Ask the parents how they give medications at home.
C)
Give the medication in orange juice or milk to mask the taste.
D)
Get another nurse to assist by holding the client down.
B
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While assessing a 7-month-old infant, the nurse makes a loud noise and notices the following response: abduction and flexion of the arms and legs; fanning of the fingers, and curling of the index finger and thumb in a C position,
followed by the infant bringing in the arms and legs to the body. What does the nurse know about this response? a. This response could indicate brachial nerve palsy. b. This reaction is an expected startle response at this age. c. This reflex should have disappeared between 1 and 4 months of age. d. This response is normal as long as the movements are bilaterally symmetric.
When assessing a patient in the hospital setting, the nurse knows which statement to be true?
a. The patient will need a brief assessment at least every 4 hours. b. The patient will need a consistent, specialized examination every 8 hours that focuses on certain parameters. c. The patient will need a complete head-to-toe physical examination every 24 hours. d. Most patients require a minimal examination each shift unless they are in critical condition.
A pregnant woman with severe preeclampsia is being managed with intravenous magnesium sulfate. Which nursing assessment would indicate that the dose of magnesium sulfate would need to be increased?
A) Increased frequency of seizures B) Hyporeflexia and diaphoresis C) Serum magnesium level of 16 mg/dL D) Increased drowsiness and flushed skin
A client is scheduled for a subtotal hysterectomy, which means that:
a. only the uterus will be removed b. the surgery will be performed through an abdominal incision to visualize the entire pelvic region c. the surgery will be performed with a laparoscopic approach d. the uterus, cervix, and fallopian tubes will be removed