The nurse is taking the apical pulse of a 6-month-old infant. Upon completion, the nurse tells the parent the baby's pulse is 140 beats per minute. The parent is concerned, stating, "That seems kind of high!" The nurse responds:
A) "Yes, this is termed tachycardia. I will let the doctor know right away."
B) "Yes, it seems fast but actually, normal infant heart rates are 150-200 beats per minute so it is a bit slow."
C) "I know it seems fast, but normal infant heart rates are 100-160 beats per minute."
D) "Yes, this is termed tachypenia. I will let the doctor know right away."
Ans: C
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. A patient has been given a 6-month prognosis and would like to die at home. The patient's care needs are unable to be met in a home environment. What might the nurse suggest as an alternative?
A) A rehabilitation hospital B) A personal care home C) Acute care D) Hospice care
The nurse is assessing an adult client in a urology clinic. The client reports that she has been having "accidents" and expresses frustration about this normal part of aging. Which response by the nurse is the most appropriate?
A) "Incontinence is not a normal part of aging. Tell me more about the incontinence you are experiencing." B) "You may need to have surgery to manage this problem." C) "I understand you are frustrated about this occurrence." D) "Unfortunately, aging and incontinence go hand in hand."
The nurse reviews information about a drug and notes the initials "USP" after the drug's official name. The nurse understands that this designation indicates the drug
a. is a controlled substance. b. is approved by the U.S. Food and Drug Administration (FDA). c. is available in generic form. d. meets quality and safety standards.
Verbalizing someone else's wishes if he or she is unable to do so
What will be an ideal response?