A two-month-old infant with a congenital heart defect has been admitted to the pediatric intensive care unit with congestive heart failure. Nursing care for this child should include which intervention?
1. Monitor respirations during active periods.
2. Give larger feedings less often to conserve energy.
3. Organize activities to allow for uninterrupted sleep.
4. Force fluids appropriate for age.
3
Rationale 1: Respirations are difficult to monitor during active periods, making this an unrealistic goal.
Rationale 2: Feedings should be small-volume, high-calorie.
Rationale 3: It is important to allow for uninterrupted sleep to decrease metabolic demands on the heart.
Rationale 4: Fluids should be restricted to high-calorie and low-volume in order to avoid overloading the lungs with fluid.
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The nurse evaluating a rhythm strip notes that the wave forms that move to the top of the strip indicate:
A) The heart rate B) A negative deflection C) An isoelectric wave D) A positive deflection
Darius is 63 years old and began to awake at night to urinate. When he went to the bathroom, he had to strain to initiate the flow, and the stream of urine was weak
Over time, the pattern became more apparent during the day; he often had a sense of urgency and felt he was going to the bathroom frequently. When he did, however, he did not always feel he had emptied his bladder, and he tended to dribble throughout the day. Much to his reluctance, his wife urged him to see a physician. At the doctor's office, his case history was carefully taken, a digital rectal exam was performed, and lab work was ordered. His blood results were unremarkable, but his urinalysis showed an elevated white blood cell count and bacteria. His physician diagnosed Darius with benign prostatic hyperplasia and urinary tract infection. How does BPH contribute to the signs and symptoms of bladder dysfunction, and how was Darius prone to developing a urinary tract infection? What are the static and dynamic components of BPH? Why are ?1-adrenergic receptor blockers sometimes used to treat prostatic hyperplasia? How would the prostate feel during a digital rectal exam with benign prostatic hyperplasia, acute bacterial prostatitis, and prostate cancer? Why does the patient with prostate cancer present with symptoms later in the disease?
A nurse has noticed that an older adult's hearing aid frequently produces a shrill, high-pitched noise. What possible solution should the nurse suggest to this problem with feedback?
A) Encourage the client to make sure the hearing aid is fully inserted in the ear canal. B) Encourage the client to change the batteries in the hearing aids frequently. C) Encourage the client to ensure that cerumen does not accumulate in his ears. D) Encourage the client to clean his hearing aids frequently.
You admire the way a nurse dresses and styles her hair. You try to do the same. Which defense mechanism are you using?
a. Projection b. Identification c. Rationalization d. Substitution