The nurse is providing parental teaching about home care for an 8-year-old boy with widespread sunburn on his back and shoulders. Which of the following responses indicates a need for further teaching?
A) "Cool compresses may help cool the burn.".
B) "He should manually peel off any flaking skin.".
C) "Nonsteroidal anti-inflammatory drugs like ibuprofen are helpful.".
D) "He should avoid hot showers or baths for a couple of days.".
B
Feedback:
If skin flaking occurs, the child should be discouraged from manually "peeling" the flaked skin as it can cause further injury. Using cool compresses, taking nonsteroidal anti-inflammatory drugs, and avoiding hot showers or baths are appropriate measures.
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The nurse is using multidose floor stock to prepare a liquid medication for the client. Which actions by the nurse would reflect correct technique? Select all that apply
1. Shaking the bottle before pouring the medication 2. Placing the palm of the hand on the opposite side of the label on the bottle 3. Checking that it is the proper medication when removing it from the shelf, when pouring it, and prior to replacing it on the shelf 4. Determining the dosage per volume of the medication 5. Calculating the proper amount required to administer the ordered dose, and then rechecking calculations
Vacarro (2001) noted that there are several types of traps into which nurses can fall that can hinder effective prioritizing of tasks. Which of the following are some of these traps?
a. relying on others to prioritize b. doing what hits first c. taking the path of least resistance d. relying on misguided inspiration e. not responding to the squeaky wheel f. completing tasks by default
Which statement is the best example of nursing outcomes for a cardiac patient who has been
experiencing angina that are consistent with nursing reflective reasoning? A) The patient follows the medical protocol prescribed by the physician. B) The patient has reduced stress levels successfully. C) The patient maintains blood pressure and pulse within normal limits. D) The patient does not experience chest pain.
A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. One hour later the client complains of chest tightness, is dyspneic and apprehensive, and has an irregular pulse. The IV bag has 100 mL remaining. Which action should the nurse take first?
A. Remove the IV B. Sit the client up in bed C. Shut off the IV infusion D. Slow the rate of infusion