An adolescent experiencing status asthmaticus is rushed to the emergency department by ambulance. The parents arrive and ask to see their child. The triage nurse at the reception desk knows that the adolescent was pronounced dead on arrival
Which is the best action by the triage nurse at this time? 1. Ask the parents to please take a seat in the waiting room.
2. Immediately escort the parents to a quiet, private room.
3. Tell the parents that they must wait because only the healthcare provider can talk with them.
4. Immediately tell the parents, "I'm sorry, but your child didn't make it."
2
Explanation:
1. Asking parents to wait is uncaring and insensitive.
2. The best nursing intervention is to give the parents an appropriate environment before they are told the news, so that they can begin grieving privately.
3. Nurses as well as other healthcare providers are capable of breaking bad news to families with caring and empathy.
4. Telling the parents the news in public is uncaring and insensitive.
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a. Interphalangeal b. Tarsometatarsal c. Metacarpophalangeal d. Tibiotalar
A mother of a premature infant asks the nurse about the baby's need for supplemental iron. What is the nurse's best response?
1. "Since iron stores are developed during the third trimester of pregnancy, premature infants require supplemental iron." 2. "All infants require iron supplements." 3. "The small body size of the preterm infant calls for supplemental iron to promote growth." 4. "Preterm infants have decreased ability to synthesize iron."
The nurse is reviewing a patient's chart prior to administering gentamycin (Garamycin) and notes that the last serum peak drug level was 9 mcg/mL and the last trough level was 2 mcg/mL. What action will the nurse take?
a. Administer the next dose as ordered. b. Obtain repeat peak and trough levels before giving the next dose. c. Report possible drug toxicity to the patient's provider. d. Report a decreased drug therapeutic level to the patient's provider.
A nurse working in the 1970s would have applied genetic concepts by
a. Providing genetic counseling to those with genetic disorders b. Educating clients about using genetic testing for risk identification c. Explaining the purposes of the Human Genome Project to clients d. Facilitating referrals for specialized genetic services for clients