You are caring for an infant who will have surgery. What type of pain assessment would you use?
A) None, because infants do not remember pain
B) None, because infants do not feel pain
C) A self-pain rating scale from 1 to 10
D) Observation of facial and body actions
D
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A child is on rifampin (Rimactane) for treatment of tuberculosis. The parents call the clinic and report that the child's urine is orange. The nurse should advise the parents to:
1. Encourage the child to drink cranberry juice. 2. Expect orange-colored urine while the child is on rifampin. 3. Bring the child to the clinic for a urinalysis. 4. Bring the child to the clinic for a radiograph of the kidneys.
A child is receiving chemotherapy induction for acute lymphocytic leukemia (ALL). Taking common side effects into consideration, which nursing diagnoses would be appropriate during the induction chemotherapy? Select all that apply
1. Risk for infection 2. Skin Integrity: Impaired mucous membrane 3. Injury, risk for: hemorrhagic cystitis 4. Fluid and electrolyte Impairment: Nausea and vomiting 5. Impaired sleep pattern 6. Patterns of Elimination, Altered: diarrhea
A patient presents to the emergency department demonstrating agitation and complaining of numbness and tingling in his fingers. His arterial blood gas levels reveal the following: pH 7.51, PaCO2 25, HCO3 25
The nurse interprets these blood gas values as: a. compensated metabolic alkalosis. b. normal values. c. uncompensated respiratory acidosis. d. uncompensated respiratory alkalosis.
Which of the following statements made by a family caregiver would a nurse consider most in-dicative of elder abuse?
a. "I get so frustrated because my father used to be so competent and now cannot even feed himself." b. "Mom cannot pay her own bills anymore. We went to the bank and arranged for me to have access to her checking account and help her pay the bills." c. "My dad wanders at night and I can't be bothered with him. I mix sleeping pills in his dinner so that he will fall asleep." d. "Mom asks me to do everything for her, but I think it is better if she keeps on do-ing as much as she is capable of."