Nursing care of the infant who has had a myelomeningocele repair should include which intervention?
a. Securely fastening the diaper
b. Measurement of pupil size
c. Measurement of head circumference
d. Administration of seizure medications
C
Head circumference measurement is essential because hydrocephalus can develop in these infants. A diaper should be placed under the infant but not fastened. Keeping the diaper open facilitates frequent cleaning and decreases the risk for skin breakdown. Pupil size measurement is usually not necessary. Head circumference measurement is essential because hydrocephalus can develop in these infants.
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After teaching a client to increase dietary potassium intake, a nurse assesses the client's understanding. Which dietary meal selection indicates the client correctly understands the teaching?
a. Toasted English muffin with butter and blueberry jam, and tea with sugar b. Two scrambled eggs, a slice of white toast, and a half cup of strawberries c. Sausage, one slice of whole wheat toast, half cup of raisins, and a glass of milk d. Bowl of oatmeal with brown sugar, a half cup of sliced peaches, and coffee
The nurse is instructing an older patient on the use of My Plate to ensure an adequate nutritional intake. Which food items would the nurse teach the patient to fill on one-half of the plate? Standard Text: Select all that apply
1. Oils 2. Fruits 3. Grains 4. Proteins 5. Vegetables
Terrorists have detonated a "dirty bomb" in a shopping center. Nurses are called to the site to assist with triage of victims
Besides treating injuries incurred from the blast itself, the priorities for treatment for most of the victims will include: a. administering potassium iodide as soon as possible. b. giving Prussian blue and monitoring elec-trolytes. c. monitoring urine and stool samples for radioactivity. d. removing clothing and bathing victims.
A specially trained nurse has inserted a PICC line. What would be done next?
A) Start administration of prescribed fluids. B) Explain the procedure to the patient and family. C) Place the patient on restricted oral fluids. D) Send the patient to the radiology department.