When spoon-feeding a patient who has had a stroke,
A. place foods as far back on the tongue as possible.
B. direct food to the unaffected side of the mouth.
C. direct food to the affected side of the mouth.
D. always use a syringe for feeding.
Answer: B
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Prior to giving an intramuscular injection to a 2½-year-old child, the most appropriate statement by the nurse would be:
1. "We will give you your shot when your mommy comes back." 2. "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say ‘one, two, three ? go' and give you your shot. After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on. Are you ready?" 3. "It is all right to cry, I know that this hurts. After we are done, you can go to the box and pick out your favorite sticker." 4. "This is a magic sword that will give you your medicine and make you all better."
Which intervention will be most effective when one is teaching a client about his or her medications and their administration?
a. Pointing out the colors of the medications for easier identification b. Referring to medications by name and providing written instructions c. Quizzing the client on each medication's purpose, side effects, and drug interactions d. Encouraging the client to hold all questions until the end of the discussion so the nurse will not have to repeat information
The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under the broader term of child:
a. abandonment. b. mismanagement. c. maltreatment. d. torment.
A medical–surgical nurse is aware that pulmonary embolism (PE) and tension pneumothorax are medical diagnoses that have the potential to result in shock. What commonality between these two health problems creates the potential for shock?
A) Both health problems involve an obstruction of normal blood flow. B) Both problems precipitate massive vasodilation and fluid displacement into the interstitial space. C) Both health problems involve a profound disruption in the normal process of hemostasis. D) Both health problems result in hypovolemia.