Which information should the nurse include when preparing a 5-year-old child for a cardiac catheterization?
a. A detailed explanation of the procedure
b. A description of what the child will feel and see during procedure
c. An explanation about the dye that will go directly into his vein
d. An assurance to the child that he and the nurse can talk about the procedure when
it is over
B
Feedback
A Explaining the procedure in detail is probably more than the 5-year-old child can
comprehend, and it will likely produce anxiety.
B For a preschooler, the provision of sensory information about what to expect
during the procedure will enhance the child's ability to cope with the events of
the procedure and will decrease anxiety.
C Using the word "dye" with a preschooler can be frightening for the child.
D The child needs information before the procedure.
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After a Foley catheter has been removed, the nurse should assess the patient for:
a. hemorrhage. b. constipation. c. urinary retention. d. bladder spasm.
When explaining the final stages of the inflammatory response to pathogens, the nurse will educate the patient about
A) how the body can kill the pathogen by generating toxic oxygen and nitrogen products producing such things as nitric oxide and hydrogen peroxide. B) margination, which is a process whereby white cells (leukocytes) stick to the endothelium and accumulate along the blood vessel. C) the increase in vascular permeability, which lets fluids leak into the extravascular tissues. D) the promotion of tissue regeneration whereby monocytes and macrophages produce potent prostaglandins and leukotrienes.
When the spouse of a client diagnosed with dysthymia asks what the major difference is between
dysthymia and major depressive disorder, the nurse can point out that in major depressive disorder a. the symptoms persist for 2 or more years. b. evidence of an earlier hypomanic episode is present. c. evidence of persistent suicidal ideation is always present. d. the client does not give a history of feeling depressed for years.
The nurse is providing postoperative care for a 14-month-old girl who has undergone a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home
Which response by the nurse would be most appropriate? A) "I will help you become comfortable in caring for your daughter.". B) "You must learn how to care for your daughter at home.". C) "You will need to learn to collaborate with all the caregivers.". D) "There is a lot to learn, and you need a positive attitude.".