The parents bring their 3-year-old son to the emergency department after having found that he has ingested some of his mother's medicine. Which assessment would be of critical importance for this child?
A) Assessing mental status and skin moisture and color
B) Evaluating the effectiveness of the child's breathing
C) Noting the child's pulse rate and quality
D) Auscultating all lung fields for signs of edema
A
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The nurse is caring for a child with rheumatoid arthritis. Which is an appropriate nonpharmacologic measure to reduce the joint pain associated this disease?
1. Elevation of the extremity 2. Immobilization 3. Massage 4. Application of moist heat
A nurse assesses a client who has a chest tube. For which manifestations should the nurse immediately intervene? (Select all that apply.)
a. Production of pink sputum b. Tracheal deviation c. Sudden onset of shortness of breath d. Pain at insertion site e. Drainage of 75 mL/hr
The nursing supervisor states, "I really don't have the time to delegate this task to a nurse manager. I can do it faster!" What is the most likely basis for this statement?
1. The nursing supervisor does not have time to delegate. 2. The nursing supervisor's job description needs to be redefined. 3. The nursing supervisor feels that he or she can do the job faster. 4. The nursing supervisor is concerned that staff is ill-prepared to assume additional responsibilities.
Fetal monitoring protocols are based on
a. the practice of each individual nurse b. the desires of the client and family c. staffing patterns each day d. professional standards of care