A nurse is performing interventions at the individual level of care. Which of the following is the nurse most likely completing? (Select all that apply.)
a. Teaching well-balanced nutrition to a mother with a malnourished child
b. Providing a parent age-specific infor-mation for immunizations
c. Assessing the community for other cases of malnutrition
d. Assessing other families on the same street for similar problems
e. Planning a social marketing campaign about seat belt safety
ANS: A, B
Teaching well-balanced nutrition and age-specific information about immunizations are the only interventions that focus on individuals. The other examples relate to families and the community.
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A child is being admitted for mild neutropenia and a severe oral monilial infection post–hematopoietic stem cell transplantation (HSCT). To which of the following rooms should the nurse assign this child?
1. Semi-private room 2. Private room with negative pressure 3. Private room 4. Semi-private room with protective isolation
A woman gives birth to a healthy baby boy at 35 weeks' gestation. What factor regarding the development of the normal respiratory system should the nurse consider when performing an assessment of the neonate?
A. As the fetus approaches term, secretion of intrapulmonary fluid increases. B. Lung expansion after birth suppresses the further release of surfactant. C. Surfactant increases alveolar surface tension, allowing re-expansion after exhalation. D. Surfactant production is sufficient to maintain alveolar stability by about 34 weeks.
Steps the RN can take to reduce the risk of malpractice include all of the following except:
a. administer drugs carefully. b. document accurately. c. do not delegate any tasks. d. think before you speak.
The client has overdosed on benzodiazepine medication. Based on the orders of the primary healthcare provider, the highest priority action on the part of the nurse is to prepare a dose of:
a. naloxone. b. activated charcoal. c. flumazenil. d. 50% dextrose.