A family requires home care teaching with regard to preventative measures to use at home to avoid an asthmatic episode. What strategy should the nurse teach?
a. Use a humidifier in the child's room.
b. Launder bedding daily in cold water.
c. Replace wood flooring with carpet.
d. Use an indoor air purifier with HEPA filter.
ANS: D
Allergen control includes use of an indoor air purifier with HEPA filter. Humidity should be kept low, bedding laundered in hot water once a week, and carpet replaced with wood floors.
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The nurse is caring for a critically ill patient with pancreatitis. What are the indications for starting parenteral nutrition (PN) for this patient?
A) 5% deficit in body weight compared to preillness weight and inability to consume oral food and fluids B) 7% deficit in body weight compared to preillness weight and restrictions to a clear liquid diet C) 10% deficit in body weight compared to preillness weight and inability to consume oral food and fluids D) 12% deficit in body weight and restrictions to a mechanical soft diet
The nurse comes to the cardiac patient's room to administer subcutaneous insulin. The patient says, "I have always taken pills for my diabetes. Am I getting worse?" What should the nurse consider when formulating a response to this question?
1. Some cardiac diseases cause oral antidiabetic medications to be less effective. 2. The stress of illness makes it difficult to control glucose with oral medications. 3. The changes associated with hospitalization make it difficult to control glucose with oral medications. 4. The patient will likely need to take insulin to control glucose even after release from the hospital. 5. Once discharged the patient can use urine dipstick measurements to guide insulin therapy.
A nurse is caring for a patient on bedrest who repeatedly attempts to get out of bed without assistance. The most therapeutic response by the nurse is:
1. "Why do you keep trying to get out of bed?" 2. "Would you like me to give you a back rub?" 3. "I need for you to behave and stop trying to get out of bed." 4. "If you don't stop trying to get up, I will have to restrain you."
Decelerations that mirror the contractions are present with each contraction on the monitor strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should:
a. maintain the normal assessment routine. b. administer O2 at 8 to 10 L/min by face mask. c. increase the IV flow rate from 125 to 150 mL/hr. d. assess the maternal blood pressure for a systolic pressure below 100 mm Hg.