The telephone triage nurse at a pediatric clinic knows that each call is important. However, recognizing that infant deaths are most frequent in this group, the nurse must be extra attentive during the call from the parent of an infant who is:
1. Between six and eight months old.
2. Of a Native American family.
3. Of a non-Hispanic black family.
4. Younger than three weeks old.
4
Rationale 1: About two-thirds of infant deaths occur much earlier—in the first 28 days of life.
Rationale 2: Native American and Alaskan natives experience an infant mortality rate of 8.3 per 100,000 live births.
Rationale 3: During 2000, the infant mortality statistics for non-Hispanic blacks was 13.6 per 100,000 live births.
Rationale 4: Almost two-thirds of all infant deaths occur during the first 28 days after birth.
Global Rationale:
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A nurse has a busy home life and a full-time work schedule and has just been asked to work an overtime night shift. The nurse should recognize that
A) fatigue and lack of sleep can cause errors in care. B) increased hours of work lead to increased competence and confidence. C) rejecting an overtime shift places an unfair burden on coworkers. D) work responsibilities should take precedence over personal responsibilities.
A post surgical patient tells the nursing assistant (NA) her pain is an 8 on a 10 scale. The NA tells the nurse the patient is exaggerating and does not need pain medication. The nurse's best response is:
A) Pain often comes and goes with post surgical patients; please ask her about the pain again in about 30 minutes. B) We need to provide pain medications because it is the law and we must always follow the law. C) Professionally, I believe "pain is what ever the patient says it is." D) Patients often misreport pain "to get our attention when we are busy."
A nurse is training new staff at a senior's residential community about ways to help the residents age well. According to the nurse, the most important thing that volunteers and staff can do is
A. Assist them with their activities of daily living. B. Provide ample time to rest and relax. C. Keep them socially engaged and active. D. Minimize stress and responsibilities.
The client has been prescribed digoxin. Before administering the drug on a routine basis to the client, the nurse should recognize that the client should receive a _____ dose
a. therapeutic b. peak c. trough d. loading