A child is taking desmopressin acetate (DDAVP) for von Willebrand's disease. What teaching about this medication does the nurse provide?
A.
Avoid products with aspirin (salicylate) in them.
B.
Get a new needle for each injection.
C.
Monitor your child's weight and report a gain.
D.
Use ice packs and pressure for epistaxis.
ANS: C
DDAVP can cause hypervolemia and hyponatremia. The child may show a rapid weight gain, which should be reported. Avoiding aspirin and using ice packs for nosebleeds are care measures for the disease, not the medication. DDAVP is given intranasally for this condition.
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A parent asks the nurse how to teach her 5-year-old child moral and spiritual values. The nurse should:
a. encourage the parent to discuss her beliefs with a child of this age. b. teach the parent that questioning of values is normal at this age. c. suggest that teaching by example is best at this age. d. tell the parent that curiosity about other beliefs is common at this age.
A client with muscular dystrophy is admitted to your unit. While observing him in bed, you notice that he is using his hands and "walking" his hands up his thighs to push his trunk erect. This sign is called:
a. Duchenne's sign c. Quadriceps sign b. Homan's sign d. Gower's sign
A national standard for patient safety has been established by the organization that is responsible for evaluating and accrediting health-care organizations and programs in the United States. This organization is known as
1. The Joint Commission. 2. The State Board of Nursing. 3. The National League for Nursing. 4. The American Nurses Association.
A nurse promotes alliances among organizations for a common purpose. Which of the following public health interventions is being implemented?
a. Health teaching b. Coalition building c. Surveillance d. Referral and follow-up