A seven-year-old client tells you, "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this family type as a(n):
1. Extended family.
2. Traditional nuclear family.
3. Binuclear family.
4. Heterosexual cohabitating family.
1
Rationale 1: An extended family contains a parent or a couple who share the house with their children and another adult relative.
Rationale 2: The traditional nuclear family consists of both biological parents, the children, and no other relatives or persons living in the household.
Rationale 3: A binuclear family includes divorced parents who have joint custody of their biological children; the children alternate spending varying amounts of time in the home of each parent.
Rationale 4: A heterosexual cohabitating family consists of a heterosexual couple, with or without children, living together outside of marriage.
Global Rationale:
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A) Use lotion to prepare the skin where the patch will be applied. B) Wear gloves when handling the patch. C) Apply the patch over a wound or abrasion, if possible, to maximize absorption. D) Leave old patches on the patient's bedside table for the doctor to examine later.
A patient is admitted to the intensive care unit with a diagnosis of thyroid storm. The nurse anticipates administering high doses of potassium iodide or strong iodine solution to:
a. reduce tachycardia and extremes of blood pressure. b. speed thyroid hormone metabolism. c. prevent thyroid hormone application. d. suppress thyroid hormone release.
The nurse is assessing the heart rate of a child with a congenital heart defect. What should the nurse document when a pulse of one strong beat and one weak beat is assessed?
A) Dicrotic pulse B) Thready pulse C) Pulsus alternans D) Water hammer pulse
A client who is quadriplegic who has been on the unit for more than 30 days has developed a pressure ulcer and is complaining of pain
The nurse manager develops a pressure ulcer inservice to assist in the management of this client as well as other clients on the unit. Which of the following nursing-sensitive outcomes would be important to the nurse manager and the nurses on this unit? A) Self-care B) Functional status of the client C) Reduced rates of institutionally acquired pressure ulcers D) Satisfaction with health care received