The nurse is aware that genitourinary surgery is especially stressful for preschool children. What factor(s) lend to this stress? (Select all that apply.)
a. They may perceive the treatment as punishment.
b. They are especially prone to separation anxiety.
c. They are sexually curious and developmentally fixated on their genitals.
d. They have a fear of castration.
e. They fear death.
ANS: A, B, C, D
All options, except fear of death, are especially stressful for preschool children undergoing genitourinary surgery. Children in this age group do not have an understanding of the concept of death.
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A patient is admitted with an acute myocardial infarction and a history of thyroid dysfunction. The nurse knows that
a. no cardiac medications will affect the thyroid hormone levels. b. heparin may decrease TSH. c. dopamine may increase TSH. d. morphine may decrease TSH.
How can health care best ensure that all of its practitioners meet current standards of care?
1. Encourage practitioners to find alternate, quicker ways to implement interventions. 2. Create clearly written, easily updated policy and procedure manuals. 3. Refuse to tolerate those who are slow to adapt new standards of care. 4. Emphasize protection of the hospital when developing internal standards and policies.
During regular parent-teacher conferences, the school nurse learns that many overweight students spend time at home working at the computer and watching television. Which action should the nurse take to help the students with the weight issue?
a. Plan a nutrition class for parents after school b. Include information on obesity in health classes c. Have a local athlete speak to students about staying fit d. Volunteer to supervise after-school games at the playground several days a week
A patient is receiving continuous enteral nutrition through a small-bore silicone feeding tube. What should the nurse plan for when this patient has a computed tomography (CT) scan ordered?
a. Shut the feeding off 30 to 60 minutes before the scan. b. Ask the health care provider to reschedule the CT scan. c. Connect the feeding tube to continuous suction during the scan. d. Send the patient to CT scan with oral suction in case of aspiration.