How often should a child who has a continuous intravenous infusion should be assessed?
a. Hourly
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours
ANS: A
The nurse must assess hourly an intravenous infusion for complications, such as inflammation and infiltration.
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A male client is being seen for anger management issues following an incident in which he was late for work, became angry at the driver in front of him for not driving faster, and intentionally ran into the car at a stop sign
This client is displaying actions most typical of: a. Intermittent explosive disorder b. Passive aggressive behavior c. Oppositional defiant disorder d. Adjustment disorder with anxiety
The nurse includes in the teaching plan information about when and where specific digestion of food takes place (select all that apply):
1. Renin breaks down milk protein in the stomach. 2. Lipase breaks down fats in the stomach. 3. Pepsin begins breakdown of proteins in the stomach. 4. Liver and pancreatic secretions break down fats in the small bowel. 5. Ptyalin (amylase) breaks down carbohydrates in the mouth.
Which of the following describes the difference between a collaborative problem and a medical diagnosis?
a. A collaborative problem is treated by the nurse; a physician is responsible for the treatment of a medical problem. b. A collaborative problem is a nursing diagnosis that requires specific orders from a physician; a medical diagnosis directs all nursing care. c. A collaborative problem has the potential to become an actual nursing diagnosis; a medical diagnosis rarely changes. d. A collaborative problem requires intervention by the nurse and physician or other professional; a medical diagnosis requires intervention by a physician.
Conditions due to birth injury are classified as:
A. Congenital anomalies B. Perinatal conditions C. Accidents D. Malformation anomalies