The nurse is caring for a newborn diagnosed with an atrial septal defect (ASD). The parents voice concern and state, "I can't believe this is happening. Will our child be okay?" What is the nurse's best response?
A) "If the defect isn't treated it can cause problems such as pulmonary hypertension, heart failure, atrial arrhythmias, or stroke."
B) "While each case is different, the majority of these defects correct on their own. Let's see what the tests show, then speak with the doctor."
C) "Since there are no symptoms being exhibited right now, your child will likely not require surgery until the age of 3 years."
D) "Most children have no symptoms of this defect."
Ans: B
While all responses supply correct information about the disorder, the best response is, "While each case is different, the majority of these defects correct on their own. Let's see what the tests show, then speak with the doctor." This individualizes the response to this child, offers realistic hope, and verifies that the physician will need to be consulted to answer questions regarding prognosis.
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Which of the following statements by the nurse would be most helpful to a child during a procedure or a treatment?
a. "It is hard to be quiet and lie still during this, but you are doing very well." b. "You're a good girl (or a good boy)." c. "This will only hurt for another 10 minutes." d. "If you are good, I will give you some of your favorite ice cream or a Popsicle."
While collecting data, the nurse suspects that a patient is experiencing renal calculi. What did the nurse assess to come to this conclusion? (Select all that apply.)
a. Nausea b. Flank pain c. Fever and chills d. Costovertebral tenderness e. Pain radiating to the genitalia
A healthcare organization is reviewing post-disaster feedback to improve the design and implementation of a better continuity plan for use. What is the purpose of this analysis?
A) Feedback collected is used to identify what worked and what did not because plans that looked good before a disaster may not look so good after one. B) Feedback collected after disasters (or mock disasters) is not useful because the staff had no other options during the disaster. C) Feedback collected after disasters (or mock disasters) is not necessarily accurate. D) Feedback collected after disasters (or mock disasters) provides data for change in a limited number of areas.
While working with an aggressive patient, it is important for the nurse to:
a. Speak firmly. b. Call the individual by name. c. Place herself between the patient and the door. d. Ignore threats against her.