A nurse is caring for an infant diagnosed with esophageal atresia (EA) and a tracheoesophageal fistula (TEF) prior to surgical correction. Which assessment finding indicates that a priority goal is being met?
A.
Airway patent with frequent suction
B.
Gavage feedings tolerated well
C.
Identification of support system by parents
D.
Temperature within normal range
ANS: A
All assessments indicate that goals for important nursing diagnoses have been met; however, airway takes priority. Maintaining a patent airway is the most important goal.
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The health care facility has sponsored a continuing education offering on emergency management of pandemic influenza. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone that might have that flu
" What is true of this statement? 1. It reflects defamation and may result in legal action against the nurse. 2. The nurse has the right to refuse to care for anyone that could endanger the nurse. 3. The nurse has no greater obligation than a lay person to care for the sick or injured in an emergency. 4. This statement is a breach of the Code of Ethics for Nurses.
A patient is prescribed a beta-blocker. The nurse realizes that which of the following will occur in this patient?
1. increased blood pressure 2. decreased preload 3. increased contractility 4. decreased heart rate
Which statement by the nurse is incorrect regarding herbal therapy?
1. Herbs cause no significant side effects. 2. Herbs can interact with prescription medication. 3. Natural does not always mean better or safe. 4. Not all natural substances are therapeutic.
Certification is available for community health nurses through the:
a. American Nurses Credentialing Center b. State Board of Nursing c. Local Public Health Department d. American Public Health Association