The nurse is caring for a 3.5-year-old child with autism who has been hospitalized. The child rocks continuously without any danger present to the child's safety. The nurse should:
A) Continue to monitor the child's behaviors.
B) Hold the child until the child quits rocking.
C) Ignore the child's rocking behavior.
D) Place the child in a "time out" area until the rocking stops.
C
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The nurse is providing care to a client requiring restraints. How often does the nurse assess the client and document the assessment?
1. Once per shift 2. Once a day 3. Once every 4-6 hours 4. Once every 1-2 hours
The nurse explains that the purpose of a stent in the carotid artery of a person with a TIA is to (select all that apply):
1. capture circulating clots. 2. help with subsequent angioplasties. 3. keep the artery open. 4. prevent hemorrhage. 5. measure pressure in the artery.
A patient is undergoing diagnostic testing for a breast mass. Initial reports suggest that the mass is benign, but definitive results are not yet available
Which nursing diagnoses would the nurse consider when planning this patient's care? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fear 2. Decisional Conflicts 3. Altered Tissue Perfusion: Peripheral 4. Disturbed Body Image 5. Deficient Knowledge
Sociocultural risk factors are identified by assessing which patient characteristic?
a. Belief system b. Daily health habits c. Stress management habits d. Restfulness of the home environment