Which of the following is the MOST easily correctable problem in a child with an altered mental status?
A) Ingestion of aspirin 2 hours ago
B) High fever with a widespread rash
C) Blood glucose reading of 40 mg/dL
D) Dehydration associated with hypokalemia
Answer: C) Blood glucose reading of 40 mg/dL
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Which intervention is correct when a nurse is administering a gastrostomy feeding by gravity?
a. Discard the residual and increase the volume of feeding by the amount of residual. b. Flush the gastrostomy tube with 2 to 4 ounces of water before the feeding. c. Refill the syringe with formula after it has completely emptied. d. Position the child on the right side after a feeding.
The nurse is caring for a client who is a in traction due to a motor vehicle accident. The nurse anticipates which of the following effects of immobility?(Select all that apply) Standard Text: Select all that apply
1. Osteoporosis 2. Venous vasoconstriction 3. Urinary stasis 4. Diarrhea 5. Decreased respiratory movement
The nurse manager on the high-risk OB unit has been told by an OB office nurse to prepare for a woman with a spinal cord injury (SCI) to deliver there. The woman wants to try a vaginal birth. What response by the nurse manager is best?
A. Assess the level of the woman's spinal cord injury. B. Assure the office nurse that vaginal birth is possible. C. Explain that women with SCI do well with a water birth. D. Tell the office nurse that vaginal birth is impossible.
A child who is hospitalized with acute glomerulonephritis experiences blurred vision and headache while in the playroom. Which action by the nurse is the most appropriate?
A) Reassure the child and encourage bed rest until the headache improves. B) Obtain the child's blood pressure and notify the physician. C) Check the urine to see if hematuria has increased. D) Obtain serum electrolytes and send a urinalysis to the lab.