The nurse in the well-child clinic is concerned with injury prevention and includes topics appropriate to the age and behaviors of the child. Which injury prevention topics would be appropriate to prevent hearing loss?
1. The five-year-old child should wear ear plugs when swimming to prevent otitis media.
2. The 12-year-old child should restrict noise levels when listening to music through earphones.
3. The bike helmet for a seven-year-old should be carefully fitted to prevent damage to the ear canal.
4. The nine-year-old child should avoid sports activities that involve cheering crowds to prevent hearing loss.
2
Rationale 1: Ear plugs are not considered necessary unless the child has myringotomy tubes.
Rationale 2: Preteens like to listen to loud music, which can damage the hearing.
Rationale 3: A poorly fitting helmet would be uncomfortable and the child would not wear it, but it is not related to hearing loss.
Rationale 4: The noise level at sporting events would not be of sufficient level or duration to damage hearing.
Global Rationale:
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A nurse is caring for four patients. On which patient should the nurse plan to conduct a further nutritional assessment?
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A client is having major surgery tomorrow. Which statement by the client indicates understanding of the preop teaching?
1. "I will probably feel pain during the procedure." 2. "I won't feel a thing because I will be asleep." 3. "I will lose consciousness, movement, and memory." 4. "I will retain all memory of my procedure."
The nurse is teaching a patient with a newly resolved episode of epistaxis. Which information is important for the nurse to include? (Select all that apply.)
a. Avoid sneezing. b. Rest for several hours until all threat of epistaxis is gone. c. Avoid rubbing the nose. d. Gently remove clotted blood from the oc-cluded nostril. e. Blow the nose gently in small breaths.