If the patient has recently had a cast removed, the weight will not be significantly different from the most recent previous weight
Indicate whether the statement is true or false
False
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A child has been hospitalized for an extended time period, and has been discharged home. This child requires complex long-term care. What should the nurse teach the family members?
1. How to remove a central line 2. Instruction on oxygen administration 3. Nothing, the family is familiar with the care. 4. How to insert an IV line
The critical care nurse and the other members of the care team are assessing the patient to see if he is ready to be weaned from the ventilator. What are the most important predictors of successful weaning that the nurse should identify?
A) Stable vital signs and ABGs B) Pulse oximetry above 80% and stable vital signs C) Stable nutritional status and ABGs D) Normal orientation and level of consciousness
The nursing diagnosis most applicable to a child with growth hormone deficiency would be
A) risk for situational low self-esteem related to short stature. B) ineffective tissue perfusion related to infantile blood vessels. C) impaired skin integrity related to overproduction of melanin. D) risk for self-directed violence related to oversecretion of epinephrine.
A patient has just been informed by the physician that he will not be discharged today. The nurse brings in the patient's lunch tray and puts it on the overbed tray. The patient pushes it off onto the floor and shouts,
"Get out of my room and leave me alone." The nurse's most therapeutic response would be: a. "Is there something wrong with your lunch tray?" b. "You seem angry. Can you tell me about it?" c. "Why are you angry? You seemed so much happier earlier today." d. "I'll order you another lunch, and I'll be back when you're in a better mood."