The nurse understands that teaching a family how to effectively communicate can result in: Select all that apply
A) The family members being able to ignore conflict.
B) The family members actively listening to one another.
C) No more conflict in the family.
D) The family members being less critical of one another.
E) Family communication that is more clear and direct.
B, E
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A 5-year-old child is brought to the emergency department after ingesting diphenhydramine [Benadryl]. The child is uncoordinated and agitated. The nurse observes that the child's face is flushed, the temperature is 37.1 oC,
and the heart rate is 110 beats per minute. The nurse will ex-pect to: a. administer atropine to reverse the adverse effects. b. apply ice packs to stop the flushing. c. give activated charcoal to absorb the drug. d. prepare to provide mechanical ventilation.
A patient is receiving heparin postoperatively to prevent deep vein thrombosis. The nurse notes that the patient has a blood pressure of 90/50 mm Hg and a heart rate of 98 beats per minute. The patient's most recent aPTT is greater than 90 seconds
The patient reports lumbar pain. The nurse will request an order for: a. a repeat aPTT to be drawn immediately. b. analgesic medication. c. changing heparin to aspirin. d. protamine sulfate.
A nurse is preparing to perform a general assessment of a 47-year-old patient who is new to the clinic. How would the nurse prepare to obtain objective data about the patient's ears? (Select all that apply.)
A) Have the patient sit on the examination table B) Place the patient in semi-Fowler's position on the examination table C) Make sure the patient is comfortable in a quiet room D) Perform the whisper, Weber, and Rinne tests before inspection E) Place the patient's ears at the nurse's eye level
The nurse is admitting an 8-year-old Vietnamese child who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit
The child is stoic and denies pain. An appropriate action by the nurse is which of the following? (Select all that apply.) 1. Use the FLACC scale to determinethe child's pain level. 2. Tell the child to ring the call bell ifthe leg starts hurting. 3. Administer pain medication now andcontinue on a regular basis. 4. Ask the child's parents to notifythe nurse if the child complains of pain.