The nursing student recognizes which of the following lifespan considerations is an appropriate action in the client interview for adolescents and older adults
1. Ask children questions even if parents present
2. Ask the client if the interview should be private
3. Conduct the interview when the client is rested and most alert
4. Assess hearing ability
2
Rationale: This is a technique to be used with the younger school-aged child.
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The nurse is caring for a client with a decrease in airway diameter causing airway resistance. The client experiences coughing and mucus production. Upon lung assessment, which adventitious breath sounds are anticipated?
A) Crackles B) Rhonchi C) Rubs D) Wheezes
The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is "too wet." The nurse finds the bandage and bed soaked with blood
What nursing action is most appropriate to institute initially? a. Notify the physician. b. Place the child in Trendelenburg position. c. Apply a new bandage with more pressure. d. Apply direct pressure above the catheterization site.
The nurse is caring for a child with disseminated intravascular coagulation (DIC). A priority nursing intervention for this child is
1. frequent ambulation. 2. maintenance of skin integrity. 3. monitoring of fluid restriction. 4. preparation for radiographprocedures.
A patient recently treated for pelvic inflammatory disease asks how to prevent a recurrence of the disease. What information should the nurse provide for the patient?
A. Annual gynecological examinations should be scheduled. B. The use of condoms will be beneficial. C. Douching after intercourse will assist in removing potential pathogens from the genital area. D. The physician will prescribe prophylactic antibiotic therapy.