The student nurse has been assigned to the pediatric unit for her clinical training this semester. She is assisting with the admission of a 5-month-old infant admitted with pneumonia
The stu-dent nurse is responsible for taking the child's vital signs and weighing and measuring the child. The infant's mother is very concerned when the student nurse tells her that the baby weighs 14 pounds. The mother states that the baby has lost a significant amount of weight because the pre-vious week she weighed 16 pounds at home. What is the student nurse's best response to the mother's concern? a. "To get an accurate weight, babies are weighed at different times of the day."
b. "Variations occur because we place our hand firmly on the child."
c. "Even if we use the same scale, the varia-tion can be 1 to 2 pounds."
d. "Weight measurements can vary with dif-ferent scales."
D
Different scales can give different weights for patients. To ensure accurate clinical decisions, weigh patients at the same time of day, on the same scale, and in the same clothes. Hold a hand lightly above the infant to prevent accidental falls. The scale can measure in weight increments to the nearest 0.1 pound or 0.1 kg.
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An older patient reports a significant amount of cheese, milk, and calcium-fortified orange juice in her diet. She also takes a 750 mg calcium supplement at breakfast. What should the nurse instruct the patient about her calcium intake?
A) Keep the intake of calcium to 30% of kilocalories or less B) Take calcium supplement doses totaling not more than 5,000 mg C) Limit the intake of calcium to a total of 2,000 mg or less from all sources D) Follow the RDA listed on the milk products' nutrition labels for calcium intake
When instructing a patient on correct technique for inserting a hearing aid into the ear, the nurse will include which of the following instructions?
a. Pull the outer ear up and out. b. Hold the aid with the long portion upright. c. Fit the aid snugly in the midline of the canal. d. Turn the aid to the desired sound level before insertion.
The nurse educator is describing the process by which drugs are transported after they have been absorbed or administered directly into the bloodstream. Which response by the student indicates understanding of the process?
1. This process is metabolism. 2. This process is administration. 3. This process is excretion. 4. This process is distribution.
What service(s) could a nurse expect from a poison control center? You may select more than one answer
1. Poison information 2. Advice and consultation by telephone for toxic exposures 3. Services provided 5 days a week 4. Hazard surveillance to achieve hazard elimination 5. Professional and public education about poisoning