A child with nephritic syndrome is severely edematous. The primary health care provider has placed the child on bed rest. An important nursing intervention for this child would be to:
1. Monitor BP every 30 minutes.
2. Reposition the child every two hours.
3. Limit visitors.
4. Encourage fluids.
2
Rationale 1: Vital signs are taken every four hours.
Rationale 2: A child with severe edema, on bed rest, is at risk for altered skin integrity. To prevent skin breakdown, the child should be repositioned every two hours.
Rationale 3: The child needs social interaction, so visitors should not be limited.
Rationale 4: Fluids need to be monitored; they should not be encouraged.
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The health care facility has sponsored a continuing education offering on emergency management of pandemic influenza. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone that might have that flu
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1. "Good morning, Mrs. Brown. My name is Ann, and I am your nurse today." 2. "I am your nurse. Today is bath day. You will get yours right after breakfast." 3. "Hello there, Sweetie. We need to get to work on getting your breakfast so we can get your shower." 4. "My name is Ann. You are my patient today."
The nurse recognizes a need for further information when a young woman with gestational diabetes says:
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