Before their infant is admitted for cleft palate surgery, in an effort to help the infant adjust after surgery, what should encourage the parents to do?
A) Feed the infant with a drinking straw
B) Feed the infant with a rubber-covered spoon
C) Train the infant to drink from a glass or cup
D) Let the infant become accustomed to being in elbow restraints
Ans: D
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The pediatric nurse caring for patients in a trauma center examines a patient who has increased intracranial pressure as a result of a motor vehicle crash. The nurse is aware that secondary brain injuries can result from which factor?
A. Acidosis B. Ischemia C. Infections D. Reduced oxygen
Which client situation would the nurse need to report to the health care provider as soon as it is noted?
1. The client with normal saline infusing IV who complains of pain at the IV site, noted to be slightly red 2. The client with a continuous infusion of heparin whose IV site is noted to be red, edematous, and painful to touch 3. The client who accidentally discontinued an IV and requires a new IV insertion 4. The client whose saline lock is not patent, and who requires a new lock to be inserted
Ms. Lauer's 5-year-old child begins running a fever and crying with ear pain. The community clinic has already closed for the day. The triage nurse at the clinic understands that the child should not have to remain in pain overnight. She suggests Ms. Laue
A) calls the child's pediatrician for an antibiotic and pain medication. B) goes to the outpatient urgent care center for treatment. C) takes the child to the emergency room since the doctor's office is closed. D) gives the child Advil and wait until the morning to come to the clinic.
After examining M.B., the ED physician asks you to insert an indwelling urethral Foley
catheter. What will you include in M.B.'s teaching before placing the Foley? What will be an ideal response?