Which nursing intervention should the nurse include in the plan of care for a child who is sedated, unconscious, and on a mechanical ventilator?
1. Out-of-bed transfer to wheelchair
2. Whirlpool baths
3. Maintenance of intravenous (IV) hydration
4. Active range-of-motion (ROM) exercises
3
Explanation:
1. The child would not be permitted to be transferred to a wheelchair.
2. The child would not be permitted to be transferred to take whirlpool baths.
3. The child who is unconscious is unable to take anything by mouth, and will need IV therapy for hydration.
4. The nurse may perform passive ROM exercises on the child, but the child is incapable of doing active ROM exercises.
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Match each description with the correct disorder. Disorders may be used more than once. Descriptions may have more than one answer
1. _____Rectum presses into vagina a. Cystocele 2. _____Symptoms include constipation b. Rectocele 3. _____ Bladder herniates into vagina c. Enterocele 4. _____Difficulty completing a bowel movement 5. _____ Damaged muscles appear higher in the colon 6. _____ Symptoms include difficulty in voiding, incontinence, and dyspareunia
The nurse has a strong personal value system and is concerned that these values may conflict with the values of a newly assigned nursing unit. What should the nurse do? (Select all that apply.)
1. Identify personal values. 2. Be watchful for situations in which there may be a values conflict. 3. Hold personal values in check if it is still possible to provide effective care. 4. Refuse to be transferred to this unit. 5. Discuss the situation with the nursing supervisor.
A health care provider overhears that a leucovorin rescue is planned for a patient receiving antineoplastic therapy in the treatment of cancer. Review the following antineoplastic drugs, and select the one which this patient must be receiving
a. Gemcitabine (Gemzar) b. Thioguanine (Lanvis) c. Methotrexate (Folex PFS) d. Cladribine (Leustatin)
The client was born without arms. Which artery does the nurse use to measure the client's blood pressure?
1. Ulnar 2. Carotid 3. Brachial 4. Popliteal