What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?
a. A popsicle
b. Chocolate milk
c. Orange juice
d. Cola drink
ANS: A
Small amounts of clear liquids can be offered to the child. Synthetic fruit juices are not as irritating as natural juices. A popsicle is usually well-tolerated.
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A nurse delegates the task of neonatal vital sign assessment to a nurse technician. The nurse should instruct the technician to:
1. Report any neonate using abdominal muscles to breathe. 2. Report any neonate with apnea for 10 seconds. 3. Count respirations for 15 seconds and multiply by 4 to get the rate for 1 minute. 4. Report any neonate with a breathing pause that lasts 20 seconds or longer.
The nurse is interviewing a patient who has a recent onset of migraine headaches. The patient is highly anxious and cannot seem to focus on what the nurse is saying
Which of the following questions would be best for the nurse to use to begin gathering data about the headaches? 1) When did your migraines begin? 2) Tell me about your family history of migraines. 3) What are the types of things that trigger your headaches? 4) Describe what your headaches feel like.
An infant with respiratory syncytial virus (RSV) is being admitted to the hospital. The nurse should plan to place the infant on which precaution?
a. Enteric b. Airborne c. Droplet d. Contact
A patient arrives in the emergency department complaining of muscle weakness and drowsiness
The nurse notes a heart rate of 80 beats per minute, a respiratory rate of 18 breaths per minute, and a blood pressure of 90/50 mm Hg. The electrocardiogram reveals an abnormal rhythm. The nurse will question the patient about which over-the-counter medication? a. Antacids b. Aspirin c. Laxatives d. Potassium supplements