The nurse is caring for a child admitted with a severe burn. Which nursing intervention will the nurse most likely perform in the first one to two days following the child's injury?
A) Encourage oral fluids
B) Monitor nasogastric suctioning
C) Instruct the family on long-term care
D) Offer age-appropriate activities
Ans: B
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A nurse is evaluating a patient who is receiving chemotherapy. The nurse checks the patient's neutrophil count and notes that it is 900 cells/mm3 . What intervention by the nurse would be most appropriate?
a. Skip the next dose of chemotherapy and notify the prescriber. b. Discontinue chemotherapy, because it is at a dangerous level. c. Hospitalize the patient, because there is a risk of possible infection. d. Continue to monitor the neutrophil count carefully, in case it continues to drop.
A 50-year-old client with paraplegia is wheelchair bound. Which of the following instructions should the nurse give to the caregiver regarding adaptations to be made for the convenience of the client at home?
A) Installing lowered electrical outlets B) Providing low coffee tables C) Providing small lights in darker areas D) Installing overhead showers
Healthcare providers strongly suggest that a client undergo genetic testing before becoming pregnant. What should the nurse do to ensure this client's informed consent and confidentiality? Select all that apply
1. Explain potential societal impact. 2. Discuss risks and benefits of the test. 3. Explain that all genetic testing is voluntary. 4. Review potential physical or psychologic harm. 5. Expect that results are to be shared with family.
You are preparing to teach an antepartum patient with gestational diabetes the correct method of administering an intermediate acting insulin (NPH) with a short acting insulin (regular)
In the correct order from 1 through 6, match the step number with the action that you would take to teach the patient self-administration of this combination of insulin. a. Without adding air, withdraw the correct dose of NPH insulin. b. Gently rotate the insulin to mix it, and wipe the stopper. c. Inject air equal to the dose of NPH insulin into the vial, and remove the syringe. d. Inject air equal to the dose of regular insulin into the vial, and withdraw the medication. e. Check the insulin bottles for the expiration date. f. Wash hands. 43. Step 1 44. Step 2 45. Step 3 46. Step 4 47. Step 5 48. Step 6