It is essential that the nurse realize that children are ________ sources of information.
Fill in the blank(s) with the appropriate word(s).
unreliable
It is essential that the nurse realize that children are unreliable sources of information. The only reliable method of drug administration is to check the child's hospital identification band with the medication label. Toddlers and preschoolers may answer to any name, and older children may deny their identity to avoid administration of the medication.
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The nurse is assessing a male patient diagnosed with chronic heart failure 10 years ago. Which finding would indicate poor perfusion to the tissues?
a. Blood pressure reading of 102/64 b. Absence of hair on the lower legs and feet c. Pulse rate of 104 beats/min d. Shortness of breath when supine
While giving the history of a 10-year-old child, the parents admit to owning firearms. Which are appropriate safety measures for the nurse to suggest? Select all that apply
1. Using gun locks on all firearms in the house 2. Taking the child to a shooting range for lessons on how to use a gun properly 3. Storing the guns and ammunition in separate places 4. Keeping all the guns in a locked cabinet 5. Explaining the dangers of a gun to the child and telling her explicitly never to touch it
A client who is at 28 weeks' gestation arrives for her first prenatal examination in a wheelchair. What should the nurse include when assessing this client? Select all that apply
1. Signs of physical abuse 2. Evidence of mental abuse 3. Teaching about cesarean birth 4. Reason why prenatal care was delayed 5. Language that would hint toward financial abuse
A nurse is caring for a client with acute back pain. When should the nurse assess the client's pain?
A) Six hours after administering a prescribed analgesic B) After the client is discharged from the health care facility C) Once per day when the pain is a potential problem D) Whenever the vital signs are measured and documented