The nurse notices that a child is increasingly apprehensive and has tachycardia after heart surgery. The chest tube drainage is now 8 ml/kg/hr. Which of the following should be the nurse's initial intervention?
a. Apply warming blankets.
b. Notify the practitioner of these findings.
c. Give additional pain medication per protocol.
d. Encourage child to cough, turn, and deep breathe.
Ans: b. Notify the practitioner of these findings.
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The nurse is planning to teach an older client how to check her blood sugar. To promote short-term memory activity, the nurse should:
1. provide a list with action steps. 2. limit the teaching session to 5-10 minutes in length. 3. ensure that the environment is free of distracting stimuli. 4. have the client repeat the steps of the procedure back to the nurse.
The nurse is conducting a seminar on Alzheimer disease (AD) with a group of community members. How should the nurse describe this health problem?
Select all that apply. 1. The incidence of AD increases with age. 2. AD tends to run in families. 3. AD is more common in men. 4. AD is caused by a virus. 5. AD is caused by environmental contaminants.
A teenaged client talks about running away if the client is discharged back to the parent's home
The nurse is processing with the client, asking, "What makes you think you can take care of yourself? Do you feel this is a good idea? What if you run out of money? How will you survive? How will you get back and forth to school?" This nurse is: A) Helping the client explore consequences. B) Using ineffective communication. C) Using effective communication. D) Encouraging a plan of action.
When a fetus is stressed, catecholamine release (epinephrine, norepinephrine) occurs from the medulla oblongata, shunting blood _______ the brain, heart, and adrenal glands.
A. Toward B. Away from