The 14-year-old child who is dying of leukemia is trying to comb her thinning hair and is having a great deal of difficulty due to weakness. The nurse should:
a. Take the hairbrush from her hand and finish the job
b. Remind the child to stop in order to save her energy
c. Compliment the child on the appearance of her hair
d. Caution her that brushing will cause more hair to fall out
C
The nurse should recognize the effort of self-care. Long illnesses threaten a child's independence, a developmental drive in the adolescent. Overprotection will increase dependence.
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Which of the following would be an appropriate action to take in order to avoid serious injury in an earthquake?
a. Duck into a doorway if walking on a sidewalk. b. Move outdoors if in a high-rise building. c. Pull under an overpass if driving. d. Rush for the nearest exit if in a stadium or theater.
A patient is in the HIV clinic for a follow-up
appointment. He has been on antiretroviral therapy for HIV for more than 3 years. The nurse will assess for which potential adverse effects of long-term antiretroviral therapy? (Select all that apply.) a. Lipodystrophy b. Liver damage c. Kaposi's sarcoma d. Osteoporosis e. Type 2 diabetes
A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regime. The intervention by the nurse that would most likely improve compliance is to:
1. Give the child a computer-animated game that presents information on the management of cystic fibrosis. 2. Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications. 3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively. 4. Discuss with the child's parents the privileges that can be taken away, such as a cell phone, if compliance fails to improve.
The most serious concern in administering IV medications is that
a. a phlebitis could develop. c. the IV site might become infected. b. the IV might infiltrate. d. the IV solution infuses directly into the blood vessel.