The nurse is assisting the physician with a lumbar puncture of a small child. The nurse will monitor which of the following during the procedure?
a. Blood pressure
b. Pulse
c. Respiratory status
d. Temperature
C
The nurse would monitor the respiratory status of the child during the procedure. Respiratory obstruction is a risk when the neck is flexed. The other vital signs would be monitored before the beginning of the procedure.
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A nursing intervention that violates the rights of the psychiatric client would be if the nurse
a. imposes suicide precautions before the client has been interviewed by the physician. b. opens and reads mail the client has left at the nurse's station to be mailed. c. places the client's expensive watch in the hospital business office safe. d. reports overhearing the client tell a friend that he will spit out oral medication.
The psychiatric mental health nurse engages in daily sessions with a client with bipolar disorder to
teach about the desired effects of prescribed medications, their side effects, and ways to manage the side effects. The problem for which the nurse is intervening is a. self-care limitation. b. difficulties relating to others. c. symptom management. d. problems related to emotions.
A client who is in week 28 of gestation is concerned about her weight gain of 17 lb. Which is the nurse's best response?
a. "You should not gain any more weight until you reach the third trimester." b. "You should try to decrease your amount of weight gain for the next 12 weeks." c. "You have not gained enough weight for the number of weeks of your pregnancy." d. "You have gained an appropriate amount for the number of weeks of your pregnancy."
A 25-year-old female patient reports urinary frequency with pain on urination, flank pain, fever, and chills. The nurse recognizes these symptoms as characteristic of which condition?
a. Cystitis b. Dysuria c. Pyelonephritis d. Urethritis