The nurse is assigned to care for a child diagnosed with a chronic illness. The child has just been admitted but has been on the unit many times before
From the report the admitting nurse gives, the child is sicker than the last time the child was admitted. In planning the child's care, the nurse notes that the provider has ordered a nasogastric gavage feeding, but you remember that even the last time the child was on the unit, the child was unable to tolerate the nasogastric feedings. The most appropriate nursing action would be for the nurse to:
A) begin the nasogastric gavage feeding to see if the child can tolerate it.
B) begin an orogastric gavage in hopes the child can handle the feeding.
C) ask the nursing supervisor to decide which type of feeding to give.
D) talk with the care provider and request further instruction and orders.
D
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An adult child of an older adult confides in the nurse that the patient has lost most of her friends because of her negative behavior. What action by the nurse is best?
a. Ask when the patient had her last physical exam. b. Encourage the patient to be more positive. c. Ask if the patient is aware of the problem. d. Suggest the patient take antidepressants.
The sister of a patient diagnosed with BRCA gene–related breast cancer asks the nurse, "Do you think I should be tested for the gene?" Which response by the nurse is most appropriate?
a. "In most cases, breast cancer is not caused by the BRCA gene." b. "It depends on how you will feel if the test is positive for the BRCA gene." c. "There are many things to consider before deciding to have genetic testing." d. "You should decide first whether you are willing to have a bilateral mastectomy."
A group of nurses at a rural hospital in Nebraska have been following the California legislation and results. They have approached their state legislator to write a similar bill to implement client–nurse ratios
Which aspect is most important to keep in mind going forward? A) More research is needed in Nebraska before deciding on ratios. B) The California experience may not apply to other hospital markets. C) They need to watch the California process for at least 10 years first. D) They should spend the time trying to implement a federal guideline instead of state.