Five-year-old Tess must receive an IV infusion of antibiotics. She is anxious, resistant, and wiggly. To keep her safe during the time the IV is in place, the nurse would choose which of the following methods to restrain her?
A) Restrain her with a mummy restraint, and loosen and rewrap it every 3 hours.
B) Restrain her on a papoose board and release her as soon as the IV is in place.
C) Use a clove-hitch restraint to keep her arm still and loosen it every 2 hours.
D) Allow her caregiver to hold her during the time the IV is in place.
C
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You suspect that your client is hemorrhaging internally. For suspected internal hemorrhage, you would assess for:
1. bloody drainage on dressing, distention of the affected area, and a change in the amount or type of drainage from a drain. 2. distention of the affected area, a change in the amount or type of drainage from a drain, and signs and symptoms of hypovolemic shock. 3. bloody drainage on dressing and signs and symptoms of hypovolemic shock. 4. bloody drainage on dressing, on areas around the dressing, and posterior to the wound site.
A nurse asks a patient about things that he has done at home to relieve the arthritis pain in his shoulders. Which of the following is this nurse most likely using?
1. Applied research 2. Critical thinking 3. Basic research 4. Discharge planning
Whistle-blowing suggests a failure of organizational ethics exists due to which potential factor?
A) Most employees are unhappy with their work environment. B) Employees whistle-blow only if they are morally sensitized. C) Policies and procedures have not been in place to respond to staff concerns. D) The motive of most whistle-blowers is to cause trouble.
While checking the preadmission history, the nurse notes that the client's history reveals deep tongue fissures. Which of the following orders would take priority?
A) Anterior-posterior and lateral chest x-ray B) Complete blood count with differential C) Dietitian referral D) Intravenous fluid replacement