A child, age 4 years, tells the nurse that she "needs a Band-Aid" where she had an injection. What nursing action should the nurse implement?
a. Apply a Band-Aid.
b. Ask her why she wants a Band-Aid.
c. Explain why a Band-Aid is not needed.
d. Show her that the bleeding has already stopped.
ANS: A
Children in this age group still fear that their insides may leak out at the injection site. The nurse should be prepared to apply a small Band-Aid after the injection. No explanation should be required.
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A nurse cares for a client who is having trouble voiding. The client states, "I cannot urinate in public places." How should the nurse respond?
a. "I will turn on the faucet in the bathroom to help stimulate your urination." b. "I can recommend a prescription for a diuretic to improve your urine output." c. "I'll move you to a room with a private bathroom to increase your comfort." d. "I will close the curtain to provide you with as much privacy as possible."
The nurse anticipates that the physician will order the administration of a crystalloid for the management of a patient with liver failure who is exhibiting signs and symptoms of hypovolemic shock
Which of the following crystalloid fluids is most commonly used to treat hypovolemic shock? A) Lactated Ringer's B) Albumin C) Dextran D) 3% NaCl
Some of the reasons for overdelegation are listed below. What are they? Select all that apply
a. seek approval from others c. unorganized b. depend too much on others d. tendency to immerse oneself in trivia
An older resident is complaining of being constipated. Which action should the nurse take first when caring for this patient?
1. Assess the diet for adequacy of fiber and fluids. 2. Determine what the patient means by constipation. 3. Obtain an order for a laxative and an enema if needed. 4. Encourage the patient to increase fluid intake and activity.