The nurse is caring for a child who is terminally ill with cancer. Which outcomes would be appropriate for this client's care? Select all that apply
A) The child will eat three balanced meals each day.
B) The child will not experience anticipatory grief.
C) The child will engage in age-appropriate play as often as possible.
D) The airway will be free of secretions.
E) The child will not experience pain.
Answer: C, D, E
Priority outcomes for the child who is dying are pain control and airway patency. The nurse would want to encourage the child in age-appropriate play depending on the condition of the child. It is not reasonable to expect the dying child to eat all meals, nor is it appropriate that the child not experience anticipatory grieving.
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The client informs the nurse that he is going home in the absence of a physician's order for discharge. The priority nursing actions include which of the following? Select all that apply. Standard Text: Select all that apply
1. Require the client to wait until the physician can arrive to talk with the client. 2. Notify the physician that the client is planning to leave. 3. Have the client sign a form stating that he has been advised not to leave. 4. Notify the charge nurse or supervisor. 5. Notify the pharmacy.
Tobie presents to the clinic with moderate acne. He has been using OTC benzoyl peroxide at home with minimal improvement
A topical antibiotic (clindamycin) and a topical retinoid adapalene (Differin) are prescribed. Education of Tobie would include: 1. He should see an improvement in his acne within the first 2 weeks of treatment. 2. If there is no response in a week, double the daily application of adapalene (Differin). 3. He may see an initial worsening of his acne that will improve in 6 to 8 weeks. 4. Adapalene may cause bleaching of clothing.
The pathogenic approach directs nurses towards:
1. Promotion of greater levels of positive health. 2. Teaching about common disease processes 3. Acute care management of chronic disease. 4. Disease prevention, risk appraisal, and disease management
The nurse is asked by the health care provide to administer vitamin K to a pregnant patient who is spotting. Which of the following routes of administration would the nurse use for vitamin K?
A. intravenous B. intradermal C. sublingual D. subcutaneous