The nurse is observing a child postoperatively following a tonsillectomy. Signs that should be reported immediately include:
a. Frequent swallowing
b. Drowsiness
c. Stable blood pressure
d. No visible blood on examination of the throat
A
The nurse should report frequent swallowing, because it is a sign of hemorrhage. The other symptoms are all normal for a posttonsillectomy patient.
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When assessing the gastrointestinal system, the order of assessment progresses in which of the following?
a. Inspection, palpation, percussion, auscultation b. Palpation, percussion, inspection, auscultation c. Inspection, auscultation, percussion, palpation d. Palpation, inspection, auscultation, percussion
An infant, who was ROA in labor, has delivered and is noted to have edema on his scalp along with ecchymosis. How does the nurse explain this to the parents?
A) The infant needs to be assessed by the health care provider B) Ecchymosis indicates a blood disorder and the infant will need testing C) Ecchymosis with edema on the scalp is where the infant was pushed out of the canal D) Edema is swelling and cause by unusual trauma, the provider must have used forceps
The grieving process does not apply to disability and loss of independence.
Answer the following statement true (T) or false (F)
Infection can be transmitted by
A. touching sterile items. B. disinfecting equipment. C. blood and body fluids. D. wearing gloves.