A patient is leaving for surgery and, because of preoperative sedation, needs complete assistance to transfer from the bed to the stretcher. Which of the following should the nurse do first?
A) Elevate the head of the bed
B) Explain the procedure to the patient
C) Place the patient in the prone position
D) Assess the situation for any potentially unsafe complications
D) Assess the situation for any potentially unsafe complications
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When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the nurse immediately report?
a. Respiration rate decrease from 40 to 32 breaths/min b. Heart rate decrease from 110 to 100 beats/min c. "Quiet chest" from previous assessment of wheezing d. Oxygen saturation of 90%
A patient asks the nurse how long it will be before a leg wound heals. What phases of wound healing should the nurse explain to this patient?
Select all that apply. 1. inflammation 2. deconstruction 3. reconstruction 4. resolution 5. dissolution
The nurse is developing a plan of care for the child hospitalized with nonorganic failure to thrive (NFTT). Which nursing intervention would be the highest priority for this child?
A) Monitor fluid intake and urinary output B) Monitor bowel elimination C) Lubricate the skin to keep it moisturized and intact D) Teach and support the caregiver
When applying a belt restraint to a patient, it is important for the nurse to:
a. apply the belt under the hospital gown. b. place the restraint around the abdomen. c. have the patient in a sitting position. d. apply the belt as tightly as possible.