A pediatric nurse is caring for a 1-year-old child in a spica cast. The nurse teaches the parents that modifications need to be made for this child, including:
A) using a sitting position on the floor to feed the child.
B) using a wagon instead of a stroller to move the child.
C) using a car seat with sturdy sides to transport the child.
D) using a baby bath with a shallow water to clean the child.
B
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During an assessment, the nurse notices that an older adult patient has tears rolling down his face from his left eye. Closer examination shows that the lower lid is loose and rolling outward. The patient complains of his eye feeling "dry and itchy."
Which action by the nurse is correct? a. Assessing the eye for a possible foreign body b. Documenting the finding as ptosis c. Assessing for other signs of ectropion d. Contacting the prescriber; these are signs of basal cell carcinoma
When a nurse asks questions like, "What day is today?" or "What time is it now?" the nurse is testing the patient's _____
Fill in the blank(s) with correct word
The nurse is preparing to assess an adult client who presents to the emergency room after falling down some steps at home. The client complains of left ankle pain and has open abrasions to the left knee and shin
Which of the following should the nurse incorporate into the physical assessment of this client? Standard Text: Select all that apply. 1. Wash hands in the presence of the client. 2. Put on nonsterile gloves to examine the client. 3. Ensure that the client has an empty bladder before beginning the physical assessment. 4. Instruct the client to hold all questions and comments until the completion of the assessment so that the nurse can focus on the exam. 5. Assess only the left lower extremity since this is the injured body part.
A nurse is caring for a patient with meningitis who is receiving spironolactone (Aldactone). A prescriber writes an order for potassium penicillin. What considerations should the nurse focus on prior to administration?
a. Obtain the blood pressure. b. Obtain the serum potassium levels. c. Assess the level of consciousness. d. Assess the serum sodium levels.