A client had a total knee replacement this morning and has a continuous passive motion (CPM) machine. What activity related to the CPM does the RN delegate to the unlicensed assistive per-sonnel?
a. Placing controls out of the reach of con-fused clients
b. Assessing the client's response to the CPM
c. Teaching the client's family the rationale for the CPM
d. Assessing neurovascular status of the leg in the CPM
A
All activities are appropriate for the client with a CPM, but the nurse can delegate only the task of keeping controls out of reach of the confused client. All other activities would need to be per-formed by the RN.
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A 7-year-old boy is admitted to the pediatric behavioral health unit with a diagnosis of an acute psychotic episode. Aripiprazole has been ordered. Before administering the medication, what is the nurse's first priority?
A) Weigh the patient. B) Obtain baseline vital signs. C) Call the physician. D) Administer the medication between meals.
The mother of a 6-year-old child says to the pediatric nurse, "My son had such a bad case of the measles. I hope he doesn't get them again." What is the most appropriate response by the nurse?
a. "It sounds like he was very sick. Let's hope he doesn't get them again." b. "Measles is a disease that once you've had it, you won't get it again. The body has learned to make cells that will fight off any future exposures." c. "Would you like me to prepare a plan for you with ways you can prevent future episodes of measles?" d. "It will be important for you to keep your son away from other children with measles, as he is now more susceptible."
Which statement is true regarding health care for minorities?
a. Federal legislation that provides free health insurance for minorities has resulted in fewer minorities than members of the general population who lack health insurance. b. Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care. c. Because many Mexican Americans are highly skilled workers with comparable wages, they have the lowest uninsured rate. d. Asians, because of their quiet demeanor and unwillingness to challenge the health care system, have the highest rate of uninsured people.
Ventricular shunts are typically placed in children who:
A) are born with a congenital condition in which the ventricles of the brain produce excessive amounts of cerebrospinal fluid. B) have experienced a severe traumatic brain injury that results in chronic cerebral edema and increased intracranial pressure. C) are born with an abnormally small brain, which results in a relative increase in the amount of circulating cerebrospinal fluid. D) have impaired circulation and absorption of cerebrospinal fluid, leading to increased size of the ventricles of the brain and increased intracranial pressure.