A nursing instructor evaluates a student nurse's application of theory regarding continuous tube feedings. The nursing instructor recognizes that further teaching is warranted when the student nurse
1. Instructs the patient to maintain a supine position.
2. Ensures that the head of the patient's bed is continually raised 30 degrees or more.
3. Interrupts the feeding every 4 hours to check placement.
4. Interrupts the feeding every 4 hours to check residual volume.
ANS: 1
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The nurse should always be careful to avoid overextending or overflexing an infant's neck because
A) a vagal response may be stimulated. B) airways are easily collapsible. C) the immature bones may fracture easily. D) the movement may affect perfusion.
A 6-month-old male infant is brought to the emergency department by his parents for inconsolable crying and pulling at his right ear
When assessing this infant, the nurse is aware that the tympanic membrane should be what color in a healthy ear? A) Yellowish-white B) Pink C) Gray D) Bluish-white
The client has stated that she wants to avoid an epidural and would like an unmedicated birth. Which nursing action is most important for this client?
1. Encourage the client to vocalize during contractions. 2. Perform vaginal exams only between contractions. 3. Provide a CD of soft music with sounds of nature. 4. Offer to teach the partner how to massage tense muscles.
Employees have the "right to know" about the hazardous chemicals with which they work through which of the following?
1. Material Safety Data Sheets 2. Consumer Confidence Report 3. Hazard Communication Standard 4. Environmental Protection Agency