An awake, alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in the following manner:
a. give half of the solution, and then repeat the other half in 1 hour.
b. mix with a flavorful beverage in an opaque container with a straw.
c. serve in a clear plastic cup so the child can see how much has been drunk.
d. administer through a nasogastric tube, since the child will not drink it because of the taste.
Ans: b. mix with a flavorful beverage in an opaque container with a straw.
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The nurse recognizes that the patient understands the primary treatment for type 2 diabetes when the patient states:
A) "A pancreas transplant will provide a cure for my diabetes." B) "I will take my oral antidiabetic agents when my morning blood sugar is high." C) "I will follow the weight loss plan designed by the dietitian." D) "I will make sure I call the diabetic nurse educator when I have questions about my insulin."
The nurse is providing patient education for a patient who is to start taking interferon. The nurse should instruct the patient that the most common adverse effect is
a. anxiety and agitation. b. vomiting. c. hirsutism. d. flulike syndrome.
The nurse is collecting data on an 18-month-old child admitted with a diagnosis of possible seizures. When interviewing the caregivers, which question would be the most important for the nurse to ask?
A) "Is your child up-to-date on his immunizations?" B) "Has anyone in your family been sick recently" C) "What type of activities was your child doing today?" D) "Have you checked your child's temperature?"
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? (Select all that apply.)
a. One family member has gone to lunch. b. Patient is placed in bilateral wrist restraints at 0815. c. Bilateral radial pulses present, 2+, hands warm to touch d. Straps with quick-release buckle attached to bed side rails e. Attempts to distract the patient with television are unsuccessful. f. Released from restraints, active range-of-motion exercises completed