The nurse is caring for a newborn with a myelomeningocele. Before surgery, the nursing interventions should include:
a. leaving the lesion uncovered and placing the infant supine.
b. covering the lesion with a sterile, saline-soaked gauze.
c. applying lotion to the lesion to keep it moist.
d. covering the lesion with a dry, sterile gauze.
B
Nursing interventions for an infant with myelomeningocele include covering the lesion with a sterile, saline-soaked gauze.
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The nurse is caring for four patients on the intermediate care unit and plans emergency care for the patients. Which patient is unsuitable for cardiopulmonary resuscitation (CPR)?
a. An 88-year-old patient with end-stage lung disease b. The patient with a valid order for a no-code status c. The patient who specifies not to perform chest compressions d. The patient whose family does not want the patient resuscitated
A patient is brought to the emergency department by friends, who report finding the patient difficult to awaken. The friends report removing two fentanyl transdermal patches from the patient's arm
On admission to the emergency department, the patient has pinpoint pupils and a respiratory rate of 6 breaths per minute. A few minutes after administration of naloxone, the respiratory rate is 8 breaths per minute and the patient's pupils are dilated. The nurse recognizes these symptoms as signs of: a. a mild opioid overdose. b. decreased opioid drug levels. c. improved ventilation. d. worsening hypoxia.
It is not necessary to familiarize family members with facility routines and services as long as the patient has been informed
Indicate whether the statement is true or false
The nurse is reviewing data collected during a client assessment. Which information should the nurse identify as a client need? Select all that apply
1. Desires to walk without a cane 2. License to drive has been suspended 3. Attends religious services every Sunday 4. Spends time with family every winter in Florida 5. Experiences shortness of breath with ambulation