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What nursing action should the nurse do when providing post-operative nursing care to a child after insertion of a ventriculo-peritoneal?
An infant who has hydrocephalus is irritable, lethargic, and difficult to feed before the ventriculo-peritoneal shunt is placed. To maintain the infant's nutritional status, which of the following nursing actions is the MOST APPROPRIATE?
The parents of a school-age child with ventriculo-peritoneal shunt were given discharge teaching, which of the following signs of a blocked shunt would the parents be able to identify that the discharge teaching is successful?
The nurse is positioning the client with increased intracranial pressure. Which of the following positions would the nurse avoid?
After a six-year old child underwent placement of ventriculo-peritoneal shunt, he was put on I.V medication. The head nurse observed that many of the staff nurses are disconnecting the flush syringe first and then clamping the intermittent infusion device. The staff nurse seem not to understand the benefits of positive pressure techniques. Which of the following strategies would be the MOST EFFECTIVE way to improve the staff nurses technique in giving I.V medication?
A. Post an evidence-based article on the topic in the unit
B. Create a poster presentation on the topic with a required post test
C. Send a memorandum on the importance of claiming the device first
D. Ask each nurse if they are aware that their practice is not current
Lorenz has a history of alcohol abuse so she was started on Antabuse. Which of the following is a COMMON side effect of this drug?
Patients with BDP manifest transient psychotic symptoms. What is the drug of choice to treat these symptoms?
Teresa revealed she has a tendency to manipulate others. What would be the MOST APPROPRIATE short-term goal for her? For Teresa to_.
When assessing a patient with BPD which of the following information would you focus on?
You have observed that Teresa is manifesting “spitting”. This characteristics of BPD is BEST defined as_.
A. Viewing people and objects as parts, either good or bad
B. Having two personalities
C. Talking about other people behind their back
D. Literally spitting in other people’s face
Situation- You are the staff nurse in the psychiatric unit of a private hospital. Teresa a 20- year old stage actress was admitted with the chief complaints of getting angry easily and inability to tolerate being alone . She claim that she has also the tendency to manipulate people and feels unhappy most of the time. She was diagnosed to be suffering from borderline personality disorder (BPD).
Mosby's_Comprehensive_Review_of_Nursing_for_the_NCLEX_RN®_Examination.pdf27.18 MB
