A 6-month-old client has been prescribed 2.5 mL of a medication orally. The pharmacy
label on the medication cup reads 5 mL, 10 mL, and 15 mL respectively. What step
should the nurse follow?
A) Measure it approximately by taking the medication between 0 and 5 mL
B) Draw the medication in a syringe and then transfer it to a medication cup
C) Consult the attending physician for any doubts regarding drug administration
D) Round the prescribed dose of medication to the closest amount on the label
B
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Which of the following assessment findings of a male infant 14 hours postpartum would be considered abnormal and would require further assessment and possible intervention?
A) The baby's first stool appears to contain blood. B) The child is unable to breathe through his mouth. C) The baby's skin has a yellowish orange hue. D) The child's suck is weak when placed at his mother's breast.
A PHN in the 1960s is measuring quality assurance. Which of the following resources would the nurse most likely have used?
a. American Nurses Association (ANA) Standards of Practice b. JCAHO Nursing Audit Criteria c. Community Health Nursing Practice Standards d. Phaneuf nursing audit method
A nurse reads the laboratory report and notes that the client has hyponatremia. What physical assessment should be made?
A) Observe skin color and texture. B) Auscultate bowel sounds. C) Percuss lung density. D) Monitor for GI symptoms.
A person who has been unable to leave home for more than a week because of severe anxiety says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?
a. Teach the person to use positive self-talk. b. Assist the person to apply for disability benefits. c. Ask the person to explain why the fear is so disabling. d. Advise the person to accept the situation and use a companion.