The nurse reminds the parents of a child who has had a fundoplication that this child will not be able to:
a. Be burped
b. Swallow cold preparations
c. Sit on a potty seat
d. Eat foods with wheat, rye, or oats
A
The top of the stomach is wrapped around the lower esophageal sphincter, which disallows the child from vomiting or being burped.
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During the physical assessment of a patient on admission, the nurse auscultates a grade II midsystolic heart murmur. The nurse would conduct additional assessment for which condition?
1. Aortic stenosis 2. Mitral stenosis 3. Aortic regurgitation 4. Mitral regurgitation
A preceptor nurse is critiquing the student nurse's outcome statements on a patient's care plan. The preceptor tells the student the most well-written outcome statement is "The patient will
a. ambulate 50 feet with walker by Tuesday." b. dress self with correct assistive devices." c. eat majority of meals by 3:00 PM." d. give self insulin injections as instructed."
A new nurse asks the preceptor how the Healthy People 2020 goals can affect a hospitalized client. Which response by the educator is the most appropriate?
A. "Healthy People 2020 seeks to improve health and prevent illness, disability, and premature death." B. "Healthy People 2020 is a tool for the healthcare providers to offer information to their clients." C. "The purpose of Healthy People 2020 is to reduce healthcare costs for hospitalized clients." D. "Healthy People 2020 is seen as a tool by hospitals to reduce length of stay."
Which nursing action demonstrates the correct technique to remove a grossly soiled gown when leaving isolation?
1. Grasp the sleeve of the dominant arm, and remove it with a gloved hand. 2. Release the neck ties of the gown and allow the gown to fall forward. 3. Untie the strings at the neck first. 4. Untie the strings at the waist first.