A toddler is admitted to the surgical unit for planned closure of the temporary colostomy. The nurse completes the admission assessment and reviews the medical orders. Which order should the nurse question?
1. Clear liquids today. NPO tomorrow
2. Type and cross-match for one unit of packed red blood cells.
3. Rectal temperatures every four hours
4. Start an intravenous line with D5NS at 20 ml per hour.
3
Rationale 1: This is appropriate in anticipation of surgery.
Rationale 2: Although not always required during surgery, this would not be inappropriate planning for the surgical procedure.
Rationale 3: Rectal temperatures are avoided due to the fragile state of the rectum.
Rationale 4: An IV is appropriate for surgical access.
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The 63-year-old male patient receives a prescription for androgens. The nurse evaluates that the patient understood drug teaching when he makes what statement?
A) "If I experience acne, I will contact my physician immediately." B) "If I experience flushing, sweating, nervousness, or emotional lability I'll know it's the drug." C) "I will report any difficulty urinating such as trouble starting my flow." D) "These pills may make my skin turn yellow but it will go away when the drug is stopped."
Which statement, if made by a pregnant client, would indicate that she understands health promotion during pregnancy?
1. "I lie down after eating to relieve heartburn." 2. "I try to limit my fluid intake to 3 or 4 glasses each day." 3. "I elevate my legs while sitting at my desk." 4. "I am avoiding exercise to stay well rested."
Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager's office after a meeting
The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario? A) Self-evaluation skills B) Communication skills C) Problem-solving skills D) Management skills
An adult with depression was treated with medication and cognitive behavioral therapy. The patient now recognizes how passivity contributed to the depression. Which intervention should the nurse suggest?
a. Social skills training b. Relaxation training classes c. Use of complementary therapy d. Learning desensitization techniques