Based on physiological adaptations of the newborn at birth, a priority nursing intervention would be:
A) assist the newborn to adapt to extrauterine circulation
B) keep the newborn covered to prevent heat loss
C) clear airway and promote respiration of the newborn
D) prevent infection and improve immune defense
C
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The nurse instructed an older patient on the importance of maintaining adequate hydration. Which statement by the patient indicates that additional teaching is needed?
1. "I'll drink water and unsweetened beverages whenever I feel thirsty." 2. "I can add an extra cup of decaffeinated coffee with breakfast and dinner." 3. "I will set up a schedule to drink a glass of water every 2 hours throughout the day." 4. "If I drink a lot of fluids, I'll have to go to the bathroom more often, but I'll get more exercise."
A patient who sustained a traumatic brain injury is being sent for a CT scan. Which nursing statements would help the patient's spouse understand the rationale for a CT scan rather than an MRI?
1. "CT scans are easier for patients with head injuries because movement is allowed." 2. "We can get results from a CT scan quicker than from an MRI." 3. "MRIs are more costly so the least expensive test is always done first." 4. "CT scans are generally safer." 5. "CT scans show more detail than an MRI."
The client is brought to the emergency department with severe facial trauma from a fist fight. What is the nurse's priority in caring for this client?
A. Assessing for manifestations of a fractured skull B. Assessing for a patent airway C. Controlling facial swelling D. Preserving vision
The nurse is preparing to administer oral medications to a client with visual impairment. The nurse should approach the client:
a. by loudly calling the client's name to ensure being heard. b. by approaching the client very quietly to prevent startling the individual. c. by not speaking until being directly in front of the client. d. by announcing oneself in a normal tone while entering the client's room.