The nurse is caring for a patient who just received a diagnosis of a seizure disorder. What supplies should the nurse gather to have at the bedside? (Select all that apply.)
a. A suction device with catheters
b. Extra pillows to pad the bed
c. A padded tongue blade
d. Oxygen source and nasal cannula
A, D
A suction device with catheters and an oxygen source with nasal cannula will help maintain the airway should it become a problem. Extra pillows on the bed could cause suffocation during a seizure; firm padding on the sides of the bed are recommended instead. Padded tongue blades are no longer used in the care of patients with seizures.
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The nurse educator is providing information to a group of nursing students regarding appropriate assessment techniques that can be applied across the life span
Which statements will the educator include in the teaching session? Select all that apply. A) "Auscultate the chest while the client is sleeping to obtain the most accurate assessment of the heart." B) "Use standard precautions during the history and physical examination process." C) "Perform invasive procedures like pharyngeal and otic exams at the end of the assessment." D) "Use age-appropriate terminology for explaining procedures and actions." E) "Use the assessment process to teach about exam procedures and findings."
Which of the following is true regarding growth and development of a child?
A. Average head circumference of an infant under 6 months is 13 to 14 inches B. The head circumference generally increases by a half inch per month during the first 6 months C. A child's weight typically doubles by 4 to 6 months D. All of the above
The nurse prepares to administer pain medication to a client. Rank the following nursing interventions in order beginning with the initial action of the nurse to administer pain medication safely
1. Compare routes on an equianalgesic chart. 2. Determine the client response to analgesia. 3. Ask the client to rate the pain on 1–10 scale. 4. Check the last analgesia administration time.
Which of the following measures should nurses implement in a hospital setting in order to identify intimate partner violence (IPV)?
A) Routine screening of newly admitted clients B) Focused physical assessment for IPV for all new clients C) Involvement of a social worker in the admission assessment of all new female clients D) Review of the definition and legal repercussions of IPV with all new female clients