The nurse observes that the infant's anterior fontanelle is bulging after placement of a ventriculoperitoneal shunt. How should the nurse position this infant?
a. Prone, with the head of the bed elevated
b. Supine, with the head flat
c. Side-lying on the operative side
d. In a semi-Fowler's position
ANS: D
If the fontanelles are bulging, the child will be positioned in a semi-Fowler's position to promote drainage from the ventricles through the shunt.
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Which one of the following parameters will not be monitored for a client undergoing a procedure using moderate sedation?
A. Oxygen saturation. B. ECG monitoring. C. Pain level assessment. D. Urine output.
The nurse offers personal hygiene to a very modest patient. Which does the nurse implement to maintain patient dignity and respect?
a. Uses the patient's personal care products b. Explains hospital policy and procedure c. Provides care at scheduled times as prom-ised d. Determines cultural and personal prefe-rences
A client with myasthenia gravis is prescribed pyridostigmine bromide (Mestinon) to:
a. decrease concentration of dopamine. b. increase concentration of acetylcholine. c. decrease activity at the internuncial neurons. d. increase calcium use in the skeletal muscles.
The nurse is working with a 3-year-old child in Bryant's traction for a fractured femur. A pain assessment scale such as the Oucher Scale can be useful to the nurse caring for this child because use of a pain assessment scale
1. provides continuity and consistencyin assessing and monitoring the child's pain. 2. decreases anxiety in the child. 3. increases the child's comfort level. 4. reduces the child's fear of painfulprocedures.