The nurse is caring for a 6-month-old infant diagnosed with nonorganic failure to thrive. What did the nurse most likely assess with this child?
A) The child's mother is attentive, but the father appears uninterested in the child
B) The child's weight and height are above average according to the growth charts
C) The child smiles and laughs when the nurse picks up and holds the child
D) The child plays and sleeps quietly for long periods of time without fussing
Ans: D
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Based on Maslow's hierarchy of needs, which represents the most appropriate list of priorities?
a. Self-care deficit; thought process altered; constipation; nutrition, less than body re-quirements b. Nutrition less than body requirements; self-care deficit; thought process altered, constipation c. Constipation; self-care deficit; altered thought process; nutrition less than body requirements d. Nutrition less than body requirements; con-stipation; self-care deficit; thought process altered
A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient. What is the nurse's best explanation when explain-ing the reason for hematuria in this patient?
a. "It is related to the immunosuppressant drugs taken before transplantation." b. "It is a normal postoperative expectation." c. "It is caused by dye injected during sur-gery." d. "It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases."
The family of a victim of a gunshot wound is asking emergency department personnel if they could find out the status of their family member. To help this family, the nurse should:
1. Contact social services or the hospital chaplain to provide support while they wait. 2. Suggest the family go to the cafeteria to get something to eat or drink. 3. Suggest the family return home, and the hospital will phone them with any information. 4. Escort the family to see the client.
Standards of nursing practice are developed within the profession to describe practice and establish the minimum level of safe practice. The purpose of standards of nursing practice can include:
a. helping to ensure that nurses are competent and safe to practice. b. serving as a guide for nurses providing care. c. determining whether the actions of nurses accused of malpractice are consistent with reasonable expectations. d. all of the above.