The nurse is helping assist the care provider in doing a lumbar puncture on a 9-month-old infant. Which method is the most safe and appropriate to restrain the child?
A) Hold the child snugly against the chest, pass one arm below the child's legs; with the other arm, hold the child's hands
B) Wrap the child in a mummy restraint, then the nurse places her hands over the infant's hands tightly on top of the restraint
C) Show the caregiver how to hold the child in a seated position securely on the caregiver's lap
D) Use a jacket restraint to keep the child snugly held to a bed or gurney
Ans: A
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The nurse has observed a number of behaviors in the client that indicate that stress management is needed. The behavior the nurse did not observe was:
1. Increased tendency to feel frustrated. 2. Verbalization of feelings. 3. Loss of objectivity. 4. Unnecessary risk-taking.
County Hospital has position descriptions for all staff, including RN Team Leaders
Sarah, a team leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and backgrounds of each of the individuals on her team, and then assigns and delegates the ap-propriate care provider to each patient and task. Sarah's activity in the example described is termed: a. Passive delegation. b. Passive accountability. c. Active delegation. d. Active responsibility.
The nurse is assessing a patient diagnosed with Graves' disease. What physical characteristics of Graves' disease would the nurse expect to find?
A) Hair loss B) Moon face C) Bulging eyes D) Fatigue
The technical or vocational nurse agrees that an appropriate nursing diagnosis for a person with Parkinson's disease would be:
a. Risk for falls related to unsteady gait. b. Ineffective airway clearance related to drooling. c. Risk for impaired skin integrity related to tremor. d. Nutrition: less than body requirements related to nausea.