A 5-year-old child comes to the provider for cast removal. Which should the nurse implement to minimize the child's fears of the cast saw?
1. Premedicate with an opioid analgesic.
2. Encourage caregiver to leave the room.
3. Instruct the caregiver to avoid restraint.
4. Show that the saw does not cut into skin.
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4. The nurse demonstrates the saw does not cut into skin to help minimize the child's fear of the noisy saw to provide first-hand evidence of how the saw functions.
1 The nurse avoids administration of an opioid because the procedure is unlikely to cause pain.
2. The nurse encourages the caregiver to remain with the child during cast removal to provide the child with the security of the caregiver's presence and to be available immediately after successful cast removal.
3. The nurse instructs the caregiver to restrain the child gently to maintain client safety.
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A prenatal nurse manager wants to help pregnant women in the clinic decrease their stress. Which action by the manager would be best?
A. Conduct childbirth preparation classes on site B. Display pictures of fetal development C. Institute primary nursing care for all patients D. Partner with a counseling service for referrals
The nurse is caring for a client admitted with pneumonia requiring oxygen administration. Which are the priority assessments to document for this client?
1. Pulses in all extremities 2. Respirations and oxygen saturation 3. Blood pressure and temperature 4. Pulse rate and blood pressure
A patient with congestive heart failure and pulmonary edema is experiencing chest pain. The patient has an order for morphine sulfate IV 4 mg every 5 to 30 minutes PRN until chest pain is relieved
The last dose of 4 mg was 15 minutes prior, and the patient is complaining of chest pain and exhibiting increased work of breathing. The nurse notes a heart rate of 82 beats per minute, a respiratory rate of 18 breaths per minute, and a blood pressure of 135/88 mm Hg. What will the nurse do next? a. Administer morphine sulfate IV 4 mg over 1 to 5 minutes. b. Administer naloxone (Narcan) to reverse respiratory depression. c. Request an order for morphine sulfate IV 2 mg over 1 to 5 minutes. d. Hold the next dose and notify the provider of the patient's symptoms.
The nurse is reviewing instructions for a patient recovering from a D&C. What should the nurse emphasize when teaching this patient? Select all that apply.
A. Recognize signs of an infection. B. Expect the next menstrual period to be early. C. Understand what the vaginal discharge will look like. D. Expect vaginal bleeding to be bright red and very heavy. E. Avoid using tampons for 2 weeks.