The nurse is caring for a client who is 5 years old and in isolation. Which should the nurse implement to maintain safety and reduce anxiety of the client?
1. Put the child in a room with a locked door.
2. Ask the parents to keep the child in the room.
3. Explain isolation to the child by using a cartoon.
4. Assign assistant to sit with the child at all times.
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4. The nurse assigns a UAP to stay with the child at all times to prevent accidents and falls and to provide comfort and companionship because a child at this developmental stage is likely to feel fear, loneliness, and rejection in a room alone for long periods. To distract the client, the nurse collaborates with the parents and occupational therapy to provide developmentally suitable activities including coloring, story reading, puzzles, and interactive electronic learning and entertainment materials.
1. Nurses do not put clients in a locked room unless the client is a danger to others; in addition, locking the child in the room decreases the safety of the child because it limits direct observation and eliminates escaping from the room in an emergency. The child is also more likely to panic, resulting in a negative hospital experience.
2. The nurse asks the parents to assist the health care team to keep the child in the room but maintains the responsibility for maintaining transmission precautions and the child's safety.
3. The nurse should explain isolation to the child and use educational material suitable to the client's developmental level; however, the child is unlikely to grasp the meaning and implications of isolation, necessitating repeated explanations and guid-ance.
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a. "The baby's heartbeat is not usually heard until the second trimester." b. "The baby's heartbeat may be heard anywhere from the ninth to the twelfth week." c. "It is often difficult to hear the heartbeat at this point, but we can try." d. "It is normal to hear the heartbeat at 6 weeks. We may be able to hear it today."
Objectives are:
a. bylaws used to govern the organization. b. financial minimums needed to operate. c. performance-based criteria for accredita-tion. d. targets that the organization wants to achieve.
Health literacy is best defined as which of the following?
a. Reading level of the learner b. Learner's ability to sign his name on a consent c. Educational level of the learner d. Learner's ability to read, understand, and act on health information
Upon reviewing the patient’s chart, the nurse would communicate which of the following data to the physician in order to investigate endometriosis?
1. Back discomfort and dysphagia 2. Ovarian pain and dysuria 3. Pelvic cramping and dyspareunia 4. Vaginal discharge and dysmenorrhea