Which of the following is an example of direct research utilization?
a. Advocating for a change in policy
b. Basing practice on current research available
c. Implementing new techniques for practice
d. Critiquing a research study
ANS: C
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The patient's order is to start total parenteral nutrition (TPN) containing a concentration of 15% glucose and 3.5% amino acids. The nurse realizes the solution must be
A) initially started in a peripheral line. B) given in a central line. C) checked, since glucose concentration is dangerously high. D) held until renal function studies are done.
The most appropriate response for the nurse to make when a client with fluctuating levels of
consciousness, disturbed orientation, and perceptual alterations begs to have someone get the bugs off her would be a. "There are no bugs on your legs. Your imagination is playing tricks on you.". b. "Try to relax. The crawling sensation will go away sooner if you can relax.". c. "Don't worry, I will have someone stay here and brush away the bugs for you.". d. "I don't see any bugs, but I know you are frightened so I will stay with you.".
A child who is dying becomes restless and fidgety, then becomes calm and peaceful. The caregivers feel hopeful that the child seems "better
" Of the following statements made by the nurse, which would be the best for the nurse to tell the caregivers about this pattern? A) "This pattern is part of dying; the child's death is imminent." B) "This pattern is not unusual in a dying child and might happen over and over again." C) "This pattern suggests that the child is feeling more comfortable and has less distress from the illness." D) "This pattern is consistent with medication cycles. The fidgeting is caused by pain, and the calmness is a sign that the pain has been controlled with medicine."
A 17-year-old postoperative client is laughing with friends. Soon after they leave, he tells the nurse he is experiencing pain and asks for something for pain. What does the nurse understand about this situation?
a. Teenagers will try to obtain narcotics by faking pain. b. Distraction reduces pain awareness. c. Postoperative pain comes on suddenly. d. Clients who are able to laugh are not really experiencing pain.