Which nursing action is most appropriate to assist a preschool-age child in coping with the emergency department experience?
a. Explain procedures and give the child at least 1 hour to prepare.
b. Remind the child that she is a big girl.
c. Avoid the use of bandages.
d. Use positive terms and avoid terms such as "shot" and "cut."
D
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A Preschool-age children should be told about procedures immediately before they
are done. Allowing 1 hour of time to prepare only allows time for fantasies and
increased anxiety.
B Children should not be shamed into cooperation.
C Bandages are important to preschool-age children. Children in this age-group
believe that their insides can leak out and that bandages stop this from
happening.
D Using positive terms and avoiding words that have frightening connotations
assist the child in coping.
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A nurse manager is working on several projects and is stressed most of the time. This manager usually works on the unit instead of her office to make sure she does not miss anything. Which would be the most effective method to decrease stress?
1. Keep a structured schedule for ?work time? on each project in the office. 2. Elicit assistance from employees to help complete the projects. 3. Allow one project to fall behind while finishing up the others. 4. Take a sick day to work on the projects uninterrupted at home.
What causes the cool, damp skin of patients in compensatory shock?
a. Constriction of peripheral blood vessels because of the shunting of blood to the vital organs b. Action of the antidiuretic hormone re-leased in shock by the adrenal glands c. Decreasing levels of arterial carbon dio-xide, which are pooling in the arms and legs d. Activation of the baroreceptors in the ren-al arteries
The clinic nurse meets with Rebecca, a 30-year-old woman who is experiencing her first pregnancy. Rebecca's quadruple marker screen result is positive at 17 weeks gestation. The nurse explains that Rebecca needs a referral to:
A) A genetics counselor/specialist B) An obstetrician C) A gynecologist D) A social worker
A staff member asks the nurse if the older adult client can be on a long-acting medication since his son is. Which of the following nursing responses is correct?
A) It is not the place of staff members to questions clients' medications. B) There is no reason that age should make a difference in long- versus short-acting medications. C) It would be a good idea since long-acting medications usually require fewer doses per day. D) Long-acting medications are stored much longer in older adults and are not recommended.