In reviewing the chart of a 15-year-old client who suffered a head trauma in a sports accident, the nurse notes a serum potassium of 2.8 mEq/L and a serum sodium of 122 mEq/L
What addition to the nursing care plan would be most appropriate for the nurse to make based on this information?
a. Strict intake and output (I&O) each shift.
b. Passive range of motion exercises each shift
c. Six-feeding, small-portion diet
d. Assessment of flank region every 12 hours for kidney tenderness
A
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What important development in nursing is attributed to Effie Taylor?
1. Reforming the asylum system 2. Introducing the use of activity therapy 3. Pioneering the development of nursing training 4. Incorporating a reintegration of the mind and body in nursing training
A child diagnosed with oppositional-defiant disorder refuses to conform to curfew rules set by his parents. The nurse would be correct to teach the parents which intervention?
A) Enable the child to make his or her own decisions B) Limit setting C) Ignore the behavior for awhile D) Limit praise for positive behavior
A dying patient is being cared for at home. The family relates to the hospice nurse that they are distressed that the patient no longer wants favorite food items. What response by the nurse is best?
a. "Dying people don't usually want to eat." b. "Your loved one won't starve to death." c. "Why do you insist of trying to feed her?" d. "Is there another way you can show car-ing?"
To prevent pressure ulcers in the bedridden patient, the most effective intervention would be to:
a. perform skin assessment every day. b. use a draw sheet to move patient. c. change the patient's position every 2 hours. d. remove wet bed linen promptly.