Which of these nursing actions included in the plan of care for a patient who is receiving intermittent tube feedings through a percutaneous endoscopic gastrostomy )PEG) tube may be delegated to an LPN/LVN:
a) Providing skin care to the area around the tube site
b) Assessing the patient's nutritional status at least weekly
Ans: a) Providing skin care to the area around the tube site
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The nurse in a pediatric ICU is caring for a child who is dying of sickle cell anemia. The child's mother has been unable to eat or sleep and can talk only about her impending loss and the guilt she feels about the child's pain and suffering
What intervention has the highest priority? A) Allowing the patient to express her feelings without judging her B) Helping the patient to understand the phases of the grieving process C) Reassuring the patient that the child's death is not her fault D) Arranging for genetic counseling to inform the patient of her chances of having another child with the disease
The nurse manager of a busy oncology unit is concerned about compassion fatigue among her nursing staff. Which of the following signs and symptoms would alter her to this problem? (Select all that apply.)
a. Nurses become very emotionally upset without an apparent cause. b. Nurses start to avoid caring for certain patients. c. Nurses start to call in sick more often. d. Nurses begin working more overtime. e. Nurses have difficulty showing empathy for patients.
Which of the following are caused by a sympathetic nervous system response? (Select all that apply.)
a. dilated pupils e. increased respiratory rate b. decreased heart rate f. increased gastric motility c. increased blood pressure g. decreased gastric secretions d. bronchial relaxation h. sphincter contraction
The nurse is caring for a patient with status epilepticus. The first goal of care for this patient would be to:
1. Determine the patient's medical history. 2. Obtain an EEG. 3. Maintain an airway. 4. Identify the cause of the seizure.