The nurse is assessing a child's functional self-care level for feeding, bathing and hygiene, dressing, and grooming and toileting. The child requires assistance or supervision from another person and equipment or device
What code does the nurse assign for this child?
a. I
b. II
c. III
d. IV
ANS: C
A code of III indicates the child requires assistance from another person and equipment or device. A code of I indicates use of equipment or device. A code of II indicates assistance or supervision from another person. A code of IV indicates the child is totally dependent.
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Leslie Charleston admits that she has been having trouble staying awake on the night shift after she is found sleeping in the day room. She stated that her babysitter moved out of state and she has not found a new babysitter
Her husband leaves for work when she gets home, and she is left with a 1-year-old and a 3-year-old until after supper. She is not getting adequate rest and is exhausted. What is your initial response? a. Call together all of the night shift nursing assistants, explain Leslie's problem, and suggest that they excuse her from the 0100 and 0300 rounds until she can get some rest b. Offer to have your babysitter also watch Leslie's children during the day so she can sleep c. Review options with Leslie and give her a written warning. If she is found sleeping again on night shift, she will be terminated d. Encourage her to switch to working day shifts
The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would document the stool's appearance most likely as which of the following?
A) Greasy B) Clay-colored C) Currant jelly–like D) Bloody
The nurse has received morning lab work on a client with chronic renal disease. Which finding indicates renal disease?
A) Urine pH of 6.5 B) Urine nitrate: negative C) Protein level of 400 mg/dL D) Specific gravity: 1.002
The nurse is caring for an elderly Native American client who is experiencing severe chest pain. A tribesman has accompanied him to the hospital at the insistence of the client
The tribesman tells the nurse that their culture teaches acceptance of death as part of the natural cycle of life and that treatments must be stopped. The client's son insists that his father be treated, and states he feels the tribe's teachings are antiquated. What is the best action for the nurse to take in this situation? 1. Call the social worker to plan a family meeting without the tribesman. 2. Interview the client and ascertain his wishes and beliefs. 3. Convene the hospital ethics committee. 4. Call the nursing supervisor.