The nurse is caring for a neonate who is less than one day postoperative following repair of a patent ductus arteriosus
When assessing the infant for pain, the nurse would consider which of the following findings indicative of a need for administration of analgesics? A) The infant is sucking actively on a pacifier. B) The infant is crying, and soothes when held. C) The infant is awake, holds very still, has decreased heart rate, and has decreased blood pressure. D) The infant is restless.
C
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The nurse is caring for a client who has been diagnosed with dissociative disorder. The nurse knows that an appropriate intervention to promote effective role performance is to:
1. Encourage the client to have no contact with friends and family. 2. Ignore the client's other personalities. 3. Help the client alienate family members who do not believe the client is sick. 4. Include family members is therapy.
Using the rule of nines, if an adult patient has each arm and hand burned, as well as his anterior trunk, the total body surface area (TBSA) burned is
A) 30%. B) 36%. C) 18%. D) 27%.
If a patient began vomiting and continued to do so for several hours, the nurse is aware that this loss of stomach contents can result in:
a. metabolic acidosis. b. metabolic alkalosis. c. respiratory acidosis. d. respiratory alkalosis.
The nurse is instructing a patient who has a hearing and balance disorder. What should be included in these instructions?
Select all that apply. 1. Change positions slowly. 2. Turn the whole body, rather than just the head. 3. Stand very still with the onset of vertigo. 4. Increase pace of ambulation. 5. Avoid reclining while taking antivertigo medication.