A preschool child needs a dressing change. To prepare the child, what strategy should the nurse implement?
a. Explain the procedure using medical terminology.
b. Plan a 30-minute teaching session.
c. Give choices when possible but avoid delay.
d. Allow time after the procedure for questions and discussion.
ANS: C
Involving children helps to gain their cooperation. Permitting choices gives them some measure of control. The other options would not be appropriate for a preschool child.
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A nurse's assessment reveals that a client with COPD may be experiencing bronchospasm. What assessment finding would suggest that the patient is experiencing bronchospasm?
A) Fine or coarse crackles on auscultation B) Wheezes or diminished breath sounds on auscultation C) Reduced respiratory rate or lethargy D) Slow, deliberate respirations
The sleep history of a client experiencing sleep problems reveals that the client ingests a significant amount of caffeine each day. When reviewing with the client the effect of caffeine on sleep,
which of the following would the nurse incorporate into the discussion as a caffeine effect? A) Decreased sleep latency B) Increased total sleep time C) Decreased REM sleep D) Increased slow-wave sleep
The process of phagocytosis involves:
A) secretion of a nonspecific chemical inhibitor. B) depletion of serotonin in the brain cells. C) digestion of microbes by white blood cells. D) breakdown of proteins into amino acids.
A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit?
a. Obtain vital signs from all members of the family. b. Ask the family members to state the goals that were previously developed. c. Collect data similar to that which was collected at the initial visit for comparison. d. Educate about the importance of using role relationships to create a healthy family.