A child with human immunodeficiency virus (HIV) also has oral candidiasis. Which type of mouth care solution will the nurse teach the child to use?
1. Normal saline
2. Listerine
3. Scope
4. Viscous lidocaine
Correct Answer: 1
Rationale: The mouth care should be with a nonalcohol base. Normal saline can keep the child's lips and mouth moist. Listerine and Scope are commercial mouth rinses that can have an alcohol base and cause drying of the membranes. Viscous lidocaine causes numbing and could depress the gag reflex in a younger child.
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Which behavior shows that a nurse values autonomy? The nurse:
a. sets limits on a patient's romantic overtures toward the nurse. b. suggests one-on-one supervision for a patient who is suicidal. c. informs a patient that the spouse will not be in during visiting hours. d. discusses alternatives and helps the patient weigh the consequences.
Legal blindness is most commonly considered to be
a. blurred or double vision that cannot be corrected. b. corrected vision that is 20/100 or worse. c. corrected vision that is 20/200 or worse. d. inability to perceive any light.
A parent became unemployed 6 months ago. The parent has subsequently been verbally abusive toward the spouse and oldest child. The child ran away twice, and the spouse has become depressed. What is the most appropriate nursing diagnosis for this family?
a. Impaired parenting related to verbal abuse of oldest child b. Impaired social interaction related to disruption of family bonds c. Ineffective community coping related to fears about economic stability d. Disabled family coping related to insecurity secondary to loss of family income
A nurse is caring for a patient with left sided hemiparesis who has developed bronchitis and has a heart rate of 105, blood pressure of 156/90, and a respiration rate of 30 . Which nursing diagnosis is the priority for this patient?
a. Activity intolerance b. Risk for skin breakdown c. Impaired gas exchange d. Risk for infection