In order to prevent damage to the grafts, the nurse caring for the infant who had open heart surgery the previous day will teach the parents:
a. Not to lift the child at all
b. To lift the child gently under his or her arms
c. To logroll the child using a draw sheet
d. To lift the child supporting his or her head and hips
D
The child should be lifted by supporting his or her head and hips. The child should not be lifted by the arms as it might disrupt the grafts or suture lines.
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A patient visits the occupational health office of the factory in which he works. He has fallen asleep on the line and has a history of muscle weakness. This instance is not the first time he has fallen asleep on the line
From what disease process does the occupational health nurse suspect the patient is suffering? A) Sleep apnea B) Insomnia C) Narcolepsy D) Substance abuse
A woman arrives at the birthing unit for a scheduled cesarean birth. What action by the nurse is most important?
A. Cleanse and shave the woman's abdomen. B. Ensure that signed informed consent is on the chart. C. Facilitate a blood draw for type and cross match. D. Initiate a large-bore IV and insert a catheter.
A client's serum sodium level is 150 mg/dL. Based on this data, which interventions should the nurse plan for this client?
Select all that apply. A) Monitor heart rate and rhythm. B) Elevate the head of the bed. C) Instruct on a low-sodium diet. D) Administer diuretics as prescribed. E) Administer potassium supplement as prescribed.
The nurse notices that a client who is visiting the clinic for an annual checkup appears to be sad. The nurse discovers that the client's home was recently destroyed by fire. What should the nurse do to help this client?
1. Assist to find appropriate housing. 2. Refer for psychological counseling. 3. Support through the grieving process. 4. Notify the physician of the client's loss.