Your client has a 3-month-old infant and is planning to resume working full time. The client tells you about these wonderful baby-care options:
the client's mother has offered to care for the baby, the client's sister-in-law runs a home-based day care center, and the client's employer provides work-site day care. In helping your client make the best choice, you use:
1. problem-solving.
2. critical thinking.
3. diagnostic reasoning.
4. decision-making.
ANS: 4
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A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
1. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor." 2. "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor." 3. "I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall." 4. "I was walking up the steps and slipped on the ice, falling while carrying my baby."
The charge nurse is observing a newly licensed nurse conduct an admission assessment on a client with asthma. Which action by the newly licensed nurse requires immediate intervention?
A) The newly licensed nurse is observed obtaining the pulse oximetry reading 10 minutes after the client used an albuterol inhaler. B) The newly licensed nurse is observed continuing to ask the client questions regarding history while the client demonstrates difficulty breathing and signs of respiratory impairment. C) The newly licensed nurse is observed assessing the client's thoracic wall, skin, and nail beds. D) The newly licensed nurse is observed auscultating breath sounds with a stethoscope.
An older adult client with a history of congestive heart failure (CHF) has a low-grade fever. Which action by the nurse is appropriate?
A) Provide warm blankets. B) Restrict fluids. C) Encourage getting out of bed to ambulate. D) Notify the healthcare provider.
The nurse is teaching a patient how to administer insulin. The patient is thin with very little body fat. The nurse will suggest injecting insulin
a. by pinching up the skin and injecting straight down. b. in the abdomen only with the needle at a 90-degree angle. c. subcutaneously with the needle at a 45- to 60-degree angle. d. using the thigh and buttocks areas exclusively.