The patient is a young girl who comes from a large extended family. When planning this patient's care, which factor should the nurse consider?
A) Restricting visitors to reduce the noise level
B) Organizing nursing care at times other than visiting hours
C) Asking the hospital's visitor program to call on the child to prevent loneliness
D) Spending increased time with the child to prevent loneliness
Ans: B
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A preterm infant in the NICU is receiving oxygen, and the nurse notes that the oxygen saturation is 98%. Which action by the nurse is most appropriate?
A. Call respiratory therapy to draw an arterial blood gas. B. Document the findings and continue to monitor. C. Lower the infant's oxygen concentration and reassess. D. See if the infant can tolerate more stimulation and activity.
When a 3-year-old girl is diagnosed with neuromuscular scoliosis, the nurse explains that the spinal curvature defect is usually caused by:
a. Juvenile rheumatoid arthritis b. Poor posture c. Heredity d. Myelomeningocele
Caregivers are often categorized by their relationship to the person being cared for. Which of the following are the roles? (Select all that apply.)
a. Grandparent b. Spouse c. Parent d. Adult children e. Neighbor/friend f. Young children
MC The priority intervention after discontinuing the procedure for a client who exhibits signs and symptoms of a vagal response during removal of a fecal impaction is:
A. Place client in shock position. B. Take BP and pulse and report findings to physician. C. Instruct client to perform Valsalva maneuver. D. Call for code team