The nurse is teaching a mother how to administer nasal drops to her infant. What should be included in the teaching plan?
a. Over-the-counter nasal drops can be saved and used later.
b. Nasal decongestants are safe and have no serious side effects.
c. Infants should receive nose drops 20 to 30 minutes before feedings.
d. Infants are mouth breathers, so nasal medications are well tolerated.
C
Infants are nose breathers, and the possible congestion caused by nasal medications may inhibit their sucking. Administer nose drops 20 to 30 minutes before feedings. Over-the-counter nasal sprays or nose drops should be used for only one illness; bottles become easily contaminated with bacteria. Nasal decongestants can enter the systemic circulation by way of the nasal mucosa or the gastrointestinal tract if swallowed, causing restlessness, nervousness, tremors, or insomnia in some patients. Long-term use can worsen nasal congestion through a rebound effect.
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A patient is postoperative day 1 following intracranial surgery. The nurse's assessment reveals that the patient's LOC is slightly decreased compared with the day of surgery. What is the nurse's best response to this assessment finding?
A) Recognize that this may represent the peak of post-surgical cerebral edema. B) Alert the surgeon to the possibility of an intracranial hemorrhage. C) Understand that the surgery may have been unsuccessful. D) Recognize the need to refer the patient to the palliative care team.
A patient at a family planning clinic says that she is considering getting pregnant, and she wants to know what she can do to help prepare her body for pregnancy
The nurse would be correct to provide information on and recommend that the patient take a. vitamin B6. b. folic acid. c. vitamin B12. d. vitamin C.
Which of the following situations is an example of moral distress?
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