The nurse observes that a child in the ICU who has been admitted following an auto accident is visibly stressed and crying. The child has a broken arm, which has been splinted, and is receiving analgesics. No other injuries have been found
When the nurse performs a pain assessment test with the child, the child refuses to cooperate. The patient's mother is hysterical and is frantically pacing next to the bed. What is the most likely cause of the child's distress?
A) Fear of further medical interventions
B) The mother's communicated anxiety
C) Pain from the broken arm
D) Shock
B
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A patient has a permanent pacemaker and complains of redness and swelling over the site of the generator implantation. The patient also has fever and leukocytosis. What is the most appropriate nursing action?
A) Assess for any patient action causing pressure on the site. B) Assure the patient that these are signs of normal healing. C) Ensure that pacemaker is working correctly. D) Facilitate administration of intravenous antibiotics.
Which of the following are some of the goals of the Magnet Recognition Program? Select all that apply
a. promote quality in a manner that supports nursing practice b. identify potential patient safety concerns c. identify excellence in the delivery of nursing service to patients d. provide a means for the dissemination of best practices in nursing services
The nurse is helping a patient who is recovering from a 2nd to 4th thoracic vertebral injury with transferring from bed to sitting in a chair. Which nursing interventions are indicated to prevent the onset of orthostatic hypotension?
1. Apply a binder around the patient's abdomen. 2. Be certain the patient is wearing compression stockings. 3. Swing the patient's legs to the side of the bed in one swift, smooth movement. 4. Gradually raise the head of the bed. 5. Allow the patient to sit on the side of the bed with feet dangling before moving to a chair.
The nurse has been teaching a class on dysrhythmias to a group of patients with this disorder. The nurse determines that teaching has been effective when a patient makes which statement?
1. "Our sodium, potassium, and magnesium levels must be okay for our hearts to have an electrical impulse." 2. "Potassium is the most important electrolyte when it comes to the electrical impulse in our hearts." 3. "Our sodium, potassium, and calcium levels must be okay for our hearts to have an electrical impulse." 4. "Enhancing potassium and sodium is how our medications will work to prevent dysrhythmias."