The nurse is caring for a child who has been sedated for a painful procedure. What is the priority nursing activity for this child?
1. Place the child on a cardiac monitor.
2. Allow parents to stay with the child.
3. Monitor pulse oximetry.
4. Assess the child's respiratory effort.
4
Rationale 1: Although equipment is important and is used routinely during sedation, it does not replace the need for visual assessment.
Rationale 2: Parents may be allowed to stay with the child, but assessment of breathing effort must take priority.
Rationale 3: Although equipment is important and is used routinely during sedation, it does not replace the need for visual assessment.
Rationale 4: When the child is sedated for a procedure, it is very important for the nurse to actually visualize the child and his effort of breathing.
Global Rationale:
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Match each TORCH disease with its possible effects on the newborn or characteristics. Diseases may be used more than once or not at all
a. Toxoplasmosis 1. _____ Without intervention, maternal transmission to the fetus is about 25% b. Rubella 2. _____ The most common viral infection in the fetus c. Cytomegalovirus 3. _____ Bullae, microcephaly, hydrencephaly, and encephalitis can occur d. Herpes simplex virus 4. _____ No known risks if infection occurs after 20 weeks' gestation e. Human immunodeficiency virus (HIV) 5. _____ Late manifestations include keratitis, snuffles, deafness, and bowing of the shins f. Varicella zoster virus 6. _____ Symptoms in the mother seem to be "flu-like" g. Syphilis 7. _____ Maternal infection in the first trimester can lead to spontaneous abortion 8._____Maternal infection during the first trimester leads to a 20% chance of fetal infection
Which action would probably result in the largest change in health care outcomes for Americans?
a. Establish large numbers of scholarships for education of nurses, physicians, and other health care providers b. Fund a one-time extremely large stimulus to allow all health care providers and agencies to create and integrate computer network systems for client health care records c. Increase funding for hospitals and medical centers to expand their neighborhood clinics d. Redirect a large portion of federal funding from acute care to health promotion activities
In caring for a client immediately following gastric cancer surgery, which nursing assessment finding would require priority attention?
A) Levine tube set to high continuous suction B) Moderate amount dark red drainage in the suction container C) Urine output at 40 mL/hour D) Abdomen soft with sluggish bowel sounds
An adolescent volunteers to read to hospitalized children without being paid. The nurse recognizes that the adolescent is in which stage of Lawrence Kohlberg's moral development theory?
1. Conventional morality 2. Preoperational morality 3. Preconventional morality 4. Postconventional morality