The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which of the following statements, if made by one of the parents, indicates a need for further instructions?
1. "I cannot place powder under the brace."
2. "I need to place a soft shirt on my child under the brace."
3. "I need to encourage my child to perform prescribed exercises."
4. "I need to be sure to apply lotion on the skin under the brace."
4
Rationale: The use of lotions or powders should be avoided with a brace because they can be-come sticky or cake under the brace, causing irritation. "I cannot place powder under the brace." "I need to place a soft shirt on my child under the brace." and "I need to encourage my child to perform prescribed exercises." are appropriate interventions for the use of a brace on a child.
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What signs should the nurse expect when a pneumothorax occurs in an infant on mechanical ventilation?
a. Tachycardia b. Clear, distinct heart tones c. Widened pulse pressure d. Abrupt duskiness or cyanosis
A community health nurse working with adolescents recognizes that which characteristic would most likely be displayed by an adolescent who is at increased risk to engage in risk-taking beha-vior?
a. Poor academic performance b. High self-esteem c. Middle-class income d. Involvement in extracurricular activities
The nurse is caring for a client with heart failure. Which assessment findings indicate the client is currently experiencing stage 2 heart failure?
Standard Text: Select all that apply. 1. Fatigue with physical activity 2. Palpitations with physical activity 3. No symptoms with physical activity 4. Dyspnea with physical activity 5. Angina at rest
A woman in her second trimester comes for a follow-up visit and says to the nurse, “I feel like I'm on an emotional roller-coaster.” Which response by the nurse would be most appropriate?
A) "How often has this been happening to you?"
B) "Maybe you need some medication to level things out."
C) "Mood swings are completely normal during pregnancy."
D) "Have you been experiencing any thoughts of harming yourself?"