When taking vital signs on an infant or small child, take the
A) oral temperature first.
B) respirations first.
C) tympanic temperature last.
D) rectal temperature last.
D
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Nursing care of the child with a snake bite involves assessment of the child for initial and progressive signs of envenomation. Which is the priority nursing action at this time?
1. Measure the circumference of the extremity containing the bite every 20 to 30 minutes. 2. Assess immunization status. 3. Assess the need for emergency breathing interventions. 4. Assess neurovascular status and vital signs. 5. Assess pain and the child's response to pain medication.
The nurse is explaining to the UAP that the patient is on a full-liquid diet. Which statement by the UAP indicates a need for reorientation?
a. "I can give the patient orange juice." b. "I can give the patient yogurt." c. "I can give the patient oatmeal." d. "I can give the patient milk."
An important consideration in positioning a newborn for breastfeeding is:
a. placing the infant at nipple level facing the breast. b. keeping the infant's head slightly lower than the body. c. using the forefinger and middle finger to support the breast. d. limiting the amount of areola the infant takes into the mouth.
When administering oxygen to clients with conditions such as emphysema, it is important for the nurse to remember that for these clients the:
a. drive to breathe may be dependent on low levels of oxygen in the blood b. respiratory rate may be increased a great part of the time c. intercostal muscles contract during inspiration, but fail to relax during expiration d. lung stretch receptors may fail to monitor the patterns of breathing