The nurse employed in the pediatric unit working on the 11 PM to 7 AM shift finds an infant unresponsive and without respirations or a pulse
After opening the airway and initiating ventila-tion, the nurse delivers chest compressions at a minimum rate of: 1. 140 times/min
2. 100 times/min
3. 80 times/min
4. 60 times/min
2
Rationale: In an infant, the rate of chest compressions is at least 100 times/min. The other options are incorrect.
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Nursing care before a cesarean birth should include:
a. Injection of narcotic preoperative medications. b. Full perineal shave preparation. c. Straight catheterization to empty the bladder. d. Administering a clear oral antacid.
On the way to the biohazard disposal closet to dispose intravenous (IV) tubing and a bag used on a patient who is positive for human immunodeficiency virus, the LPN/LVN drops the IV tubing and bag on the floor, causing a spill
What is the team leader's most appropriate action? a. Quickly pick up the dropped supplies and dispose of them in the biohazard bag in the biohazard room. Ask housekeeping to place a small barricade over the spill until it can be mopped up later. b. Find the floor maintenance person to pick up and dispose of the used equipment and to mop the floor, reminding him or her to wash his or her hands with soap and wa-ter. Chart that the IV was infused and discontinued appropriately. c. Call and report to designated personnel to come and cordon off the area from staff and patients; have the spill cleaned with approved infection and chemotherapy spill control procedures. d. Chart the spill in the patient's chart, in-form the RN when convenient, and have housekeeping mop up the spill.
The medical?surgical nurse is providing the client and family with discharge instructions for the hypertensive client. The family is concerned about complications from hypertension. The nurse responds:
1. "There are potential complications, but the risks can be minimized if the hypertension is well controlled.". 2. "The complications are relatively minor.". 3. "The physician will discuss the complications with you at a later date.". 4. "The client could die if she doesn't follow these instructions.".
The nurse is providing teaching for a patient who will begin using tobramycin ointment (Nebcin) 0.5 inches 3 times daily. The patient currently uses pilocarpine HCl (Isopto Carpine) drops to treat glaucoma
Which statement by the patient indicates a need for further teaching? a. "I should apply the third dose of tobramycin at bedtime each day." b. "I should instill the drops in the conjunctival sac of the lower eyelid." c. "I should not stop the medications without consulting my provider." d. "I should put the ointment on first and then instill the eyedrops."