Convert 8 ounces/day to an equivalent rate in pounds per day
1. ¼ pound per day
2. ½ pound per day
3. 128 pounds per day
4. 2 pounds per day
2
Rationale 1:
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The nurse is taking care of a child in the ICU. The parent appears very angry and tells the nurse no one is giving her information about her child. How should the nurse respond?
1. Inform the parent she will be asked to leave if she continues this behavior. 2. Apologize for the parent's perception and assure the parent that the staff will keep her informed. Inform the parent of any change in the child's condition as soon as possible. 3. Offer to ask the doctor to come and talk with her. 4. Tell the parent her behavior will upset the child.
The nurse is preparing to assess the skin of a client with a history of eczema. The assessment will follow a logical sequence. Place the following in the appropriate order Standard Text: Click and drag the options below to move them up or down
1. Inspect skin color 2. Inspect uniformity of skin color 3. Inspect and describe skin lesions 4. Observe and palpate skin moisture 5. Palpate skin temperature 6. Note skin turgor
To avoid complications of blood transfusion reaction, which nursing action is most important?
A) Matching numbers on blood bag to client bracelet B) Making sure IV catheter size is 20 gauge or larger C) Hanging normal saline before and after blood infusion D) Only allowing the registered nurse to initiate, maintain, and discontinue the blood
With which client would assessing skin turgor be unreliable for evaluating fluid balance?
1. 4-lb infant 2. 3-year-old child 3. 30-year-old pregnant woman 4. 80-year-old man