What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?
a. Ask the child to bend forward at the waist and observe the child's back for asymmetry.
b. Observe the gait while the child is walking forward heel to toe.
c. Have the child flex the knees and look for uneven knee height.
d. Look at the child's shoulders and hips while fully clothed.
ANS: A
The nurse looks at the back as the child bends forward for general body alignment and asymmetry.
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At an annual employee health fair, the nurse educator is presenting information to staff regarding negative emotions that may occur when caring for patients who are anxious, angry, and aggressive. Which staff member statement indicates that the teaching has been effective?
a. "Self-awareness prevents the nurse's negative emotions." b. "Self-awareness allows the nurse to express sympathy for the patient." c. "Intense negative emotions guide the nurse to plan appropriate interventions." d. "Intense negative emotions interfere with the nurse's assessment and judgment."
What nursing intervention would be the priority for an 82-year-old woman admitted with severe gastroenteritis and who is having up to 15 watery stools per day?
A. Replacing fluids B. Ensuring skin care C. Changing positions frequently D. Providing a bedside commode
A patient's order for IV fluid states the D5W is to be infused. Which of the following IV fluids should be given?
A) 5% dextrose with normal saline B) 5% dextrose with Lactated Ringer's Solution C) 5% dextrose with 0.45% sodium chloride D) 5% dextrose
After the death of a patient and before other nursing interventions are implemented, the nurse should:
a. place the patient in a supine position and elevate the head of the bed 30 degrees. b. wait an hour to prepare the patient for viewing. c. place the patient in a side-lying position to allow drainage. d. exclude the family while the body is being prepared.