The initial nursing intervention for the assessment of external hemorrhaging is:
1. Close monitoring of the wound dressing for bloody drainage
2. Frequent assessment of the client's blood pressure
3. Monitoring of the client's heart rate
4. Redressing of the wound
ANS: 1
The nurse observes dressings covering the wound for bloody drainage.
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During a routine visit, a parent of a school-age child states to the nurse, "I don't think my child wants me to help with anything anymore." The best response from the nurse should be:
1. "Continue to do what you have been doing for your child." 2. "Your child's ability to solve problems and assume more responsibility for herself is important." 3. "Just let your child know you are the parent, and that what you are doing is the right thing." 4. "Let your child know that she should inform you when she needs to have something done."
A patient has crutches. You need to do which of the following?
a. Teach the person how to use them. b. Check the crutch tips to see if they are worn down or wet. c. Make sure the bolts are loose. d. Have the person wear socks.
A nursing student who has held a variety of nonnursing positions is scheduled to graduate in a few weeks and is searching for a nursing job
The student has responded to a posting at a local hospital that asks for two references. Which of the following individuals would be the best choices for these two references? A) A trusted coworker and a nurse who supervised the student during a preceptorship B) A family friend who knows the student well and the associate dean of the nursing school C) The two work supervisors with whom the student has the strongest rapport D) A nursing instructor and the supervisor of the student's latest job
When the mother of a 2-year-old tells the pediatric nurse that the child masturbates, the nurse informs the mother that the child:
A) may have an identity crisis. B) should have a physical examination. C) needs family counseling. D) is exhibiting normal behavior.