A nurse is working with the family of a pediatric client. The nurse is planning to obtain an accurate family assessment. The initial step would be to:
1. Select the most relevant family assessment tool.
2. Establish a trusting relationship with the family.
3. Focus primarily on the mother, learning her greatest concern.
4. Observe the family in the home setting, since this step always proves indispensable.
2
Rationale 1: There is benefit when the tool used matches the family's strengths and resources; however, selecting the most relevant family assessment tool is not the initial step in obtaining a family assessment.
Rationale 2: Establishment of a trusting relationship between the family and the nurse is the essential preliminary step in obtaining an accurate family assessment.
Rationale 3: Focusing primarily on the mother while learning her greatest concern is counterproductive and prevents the nurse from acknowledging multiple perceptions held by the family's members.
Rationale 4: Observing the family in the home setting is recommended only in some cases.
Global Rationale:
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Sildenafil has been prescribed to a patient in his 60s, and the nurse is providing health education about the safe and effective use of the drug. The nurse should teach the patient to
A) avoid taking sildenafil if he experiences heartburn. B) take the drug every 30 minutes if necessary, to a maximum of three doses. C) take the drug on an empty stomach. D) avoid taking the drug more than once in any 24-hour period.
A school-age child is brought to the emergency department after being hit in the mouth with a baseball bat during Little League. The child has lost two deciduous teeth, and one permanent front tooth is loose
What care should the nurse prepare to provide to this patient? (Select all that apply.) A) Administer prescribed oral antibiotic. B) Wash the deciduous teeth with saline to be wired into place. C) Instruct the parents and the child that the jaw will need to be wired shut. D) Explain that an X-ray may be done to make sure that the jaw was not fractured. E) Explain that a chest X-ray will be done to make sure that other teeth are not in the lungs.
The nurse is reviewing a patient's electrocardiogram to determine if there is any myocardial tissue damage. Which part of the electrocardiogram should the nurse focus attention on?
1. ST segment 2. PR interval 3. QRS complex 4. U wave
Which of the following is a suggested reason for the theory-practice gap in nursing?
A) There are two types of nurses - those who "practice" and those who "teach" B) Use of theory is limited due to current standards C) Theory supports current practice and protocol D) Publication of research in clinical journals