Which assessment finding increases the concern that a patient with a cerebral vascular accident would aspirate?
1. Eating only foods on one side of the tray
2. Refusal to allow the nurse to assist with feeding
3. Absence of interest in eating or drinking
4. Continuous clearing of the throat
Answer: 4
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A client has received a dose of ondansetron (Zofran) for nausea. What action by the nurse is most important?
a. Assess the client for a headache. b. Assist the client in getting out of bed. c. Instruct the client to reduce salt intake. d. Weigh the client daily before the client eats.
The developmental tasks of school-age children include building self-esteem and
a. obtaining a place in a peer group. b. identifying sex role and functions. c. developing a conscience. d. developing skill in relating to people from different backgrounds.
You are the nurse working with an adolescent who has just been diagnosed with a sexually transmitted disease. In your state the provider of care has an obligation to report sexually transmitted diseases to the local health department
Your best action is which of the following? a. Explain to the adolescent that the law requires reporting of this information, which will be handled in a sensitive and appropriate manner. b. Report the information, and let the local health department deal with the adolescent, as they are trained in sensitive matters. c. Ask the parents of the adolescent to notify the local health department. d. Ask the hospital social worker to notify the local health department.
During the recovery–management phase of burn treatment, which is the most common complication seen in children?
1. Shock 2. Metabolic acidosis 3. Burn-wound infection 4. Asphyxia