The nurse is caring for a 1-year-old hospitalized child who is in Bryant traction. Which intervention would be the highest priority for this child?
A) Remove elastic bandages once a day
B) Report continuous loud crying or irritability
C) Keep the hips elevated off of the bed
D) Provide sensory stimulation
Ans: B
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The nurse working in a pediatric burn unit explains to new registered nurses that which is the most common cause of death in burned children?
A. Hypovolemic shock B. Infection C. Sepsis D. Thrombotic events
While assessing the client who has had diabetes for 15 years, the nurse notes that the client has decreased tactile sensation in both feet. What is the nurse's best first action?
A. Document the finding as the only action. B. Test sensory perception in the client's hands. C. Examine the client's feet for signs of injury. D. Notify the physician.
Approximately 50% of all women who give birth prematurely have no identifiable risk factors, and about 50% of preterm births could not be prevented
1. True 2. False
While performing an admission assessment on a patient, the nurse learns that the patient is taking furosemide (Lasix), digoxin, and spironolactone (Aldactone). A diet history reveals the use of salt substitutes
The patient is confused and dyspneic and complains of hand and foot tingling. Which is an appropriate nursing action for this patient? a. Contact the provider to request orders for an electrocardiogram and serum electrolyte levels. b. Evaluate the patient's urine output and request an order for intravenous potassium. c. Hold the next dose of furosemide and request an order for intravenous magnesium sulfate. d. Request an order for intravenous insulin to help this patient regulate extracellular potassium.