A patient who has been hospitalized for 2 days has been receiving normal saline IV at 100 ml/hr, has a nasogastric tube to low suction, and is NPO. Which assessment finding by the nurse is the priority to report to the health care provider?
A. Serum sodium level of 138 mEq/L
B. Gradually decreasing level of consciousness
C. Oral temperature of 100.1 degrees Fahrenheit (37.8C) with bibasilar lung crackles
D. Weight gain of 2 pounds above the admission weight
Ans: B. Gradually decreasing level of consciousness
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The mother of an 18–month-old expresses concern that her toddler is having temper tantrums when things don't go her way. What advice should the nurse offer the mother? Standard Text: Select all that apply
1. "This is common in the toddler and represents a loss of self-control." 2. "Remove the child from the area where the tantrum occurs." 3. "Provide a distraction for the child without giving in to the child's desire." 4. "Remain calm while handling the child and do not raise your voice to the child." 5. "If the tantrum continues for more than a few minutes, the mother should tap the child lightly on the behind to remind the child the consequences of misbehavior."
The mother of a 14-year-old girl complains to the nurse that her daughter is moody, shuts herself in her room, and fights with her younger sister. Which comment is most valuable to the mother?
A) "Calmly talk to her about your concerns." B) "This is normal for her age." C) "She may be hanging with a bad crowd." D) "Set some rules for family etiquette."
During the interview process, you should
A) make yourself comfortable. B) ask for a beverage. C) make good eye contact. D) interrupt to ask questions.
A nurse is preparing to assist with a bone marrow biopsy. Which anatomical site should the nurse anticipate will be used to obtain the specimen?
a. Posterior iliac crest b. Long bones in the legs c. Ribs d. Humerus