A nurse is caring for a patient in a halo vest who complains of a headache after the physician tightens the skull pins. What is the recommended intervention in this situation?
A) Notify the physician immediately because the pins may have slipped onto the temporal plate.
B) Obtain an order for and administer an analgesic.
C) This is a common complaint and no intervention is necessary.
D) Remove the halo vest with the wrenches provided by the manufacturer.
B
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The school nurse has noticed an increase in the number of children in the school being diagnosed with type 2 diabetes
Which changes could the nurse implement at school to help reduce students' risk for developing type 2 diabetes? Standard Text: Select all that apply. 1. Increase the amount of daily physical activity. 2. Meet with all parents and explain the risk that is associated with obesity. 3. Test each child's urine monthly. 4. Teach the parents to avoid administering aspirin to their children. 5. Work with the cafeteria to decrease the amount of fat in the foods served.
A laboring client has been very quiet during labor, and has made no noise during contractions during the past four hours. The client is of Chinese descent. The nurse understands that this indicates that the client:
1. Believes pain should be endured and not expressed. 2. Is not in the active phase of labor yet. 3. Will not need pain medication during her hospitalization. 4. Has been abused by her husband and is afraid to verbalize fear.
A nurse executive says, "I would really like to develop our current nurses so they can take a greater leadership role in the future
" Why is this a good management plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Employees with a long history at the facility are easier to control. 2. This method of developing leaders has proved to be cost-effective. 3. The leadership development can be varied according to the needs of the nurse. 4. When leaders are developed from within, management is already aware of their strengths and weaknesses. 5. The specific needs of the organization can be served.
The nurse is working with a new mother who delivered yesterday. The mother has chosen to breastfeed her infant. Which demonstration of skill is the best indicator that the client understands breastfeeding?
1. She puts the infant to breast when he is asleep to help wake him up. 2. She takes off her gown to achieve skin-to-skin contact. 3. She leans toward the infant so that he turns his head to access the nipple. 4. The infant is crying when he is brought to the breast.