The charge nurse is preparing to assign a staff member to assist the healthcare provider planning to perform a lumbar puncture on a 9-month-old infant who is irritable and has an elevated temperature. Which staff member would be the best one to assist in this procedure?
A. An RN who graduated from nursing school 6 weeks ago
B. A UAP with 9 years of experience in caring for elderly clients
C. A UAP with 2 years of experience on a pediatric unit
D. An LPN who has been licensed for 4 years but has only worked on the unit for 2 weeks
Answer: C
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The nurse is performing a health history to determine the patient's sensory status. Which questions will be best suited to elicit the information needed? (Select all that apply.)
a. "Do you ever lose your balance?" b. "Do you wear glasses?" c. "Do you read the newspaper?" d. "Can you feel the difference between hot and cold water?" e. "Do you wear a hearing aid?"
The patient receiving radiation therapy complains of the conspicuous markings on the skin. What can the nurse explain about these markings?
a. They are residues of the treatment and can be washed off. b. They are caused by radiation and will fade in time. c. They are indicators of the amount of radiation the patient is receiving. d. They are gridlines for treatment and should be left on.
How much medication must be administered for the following order? Used with permission from Pfizer Inc Order: Procardia 20 mg
What will be an ideal response?
A patient comes to the crisis center saying, "I'm in a terrible situation. I don't know what to do." The triage nurse can initially assume that the patient is:
a. suicidal. b. anxious and fearful. c. misperceiving reality. d. potentially homicidal.