Friday, 14 August 2020

Q. According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage?

A. Trust versus mistrust
B. Initiative versus guilt
C. Industry versus inferiority
D. Identity versus role confusion



Correct Answer: C

Reason: In middle childhood, the 6- to 12-year-old child is mastering the task of industry versus inferiority. The trust versus mistrust task is in infancy (birth to 1 year). In early childhood, the 1- to 3-year-old child is in the stage of initiative versus guilt. Identity versus role confusion occurs during adolescence.

Thursday, 13 August 2020

Question Of The Day, Preschooler
Q. A child diagnosed with tetralogy of Fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and the respiratory rate increases to 44 breaths/minute. Which of the following actions should the nurse do first?

A. Obtain an order for sedation for the child.
B. Assess for an irregular heart rate and rhythm.
C. Explain to the child that it will only hurt for a short time.
D. Place the child in a knee-to-chest position.

Correct Answer: D

Reason: The child is experiencing a tet or hypoxic episode. Therefore the nurse should place the child in a knee-to-chest position. Flexing the legs reduces venous flow of blood from the lower extremities and reduces the volume of blood being shunted through the interventricular septal defect and the overriding aorta in the child with tetralogy of Fallot. As a result, the blood then entering the systemic circulation has a higher oxygen content, and dyspnea is reduced. Flexing the legs also increases vascular resistance and pressure in the left ventricle. An infant often assumes a knee-to-chest position in the crib, or the mother learns to put the infant over her shoulder while holding the child in a knee-to-chest position to relieve dyspnea. If this position is ineffective, then the child may need a sedative. Once the child is in the position, the nurse may assess for an irregular heart rate and rhythm. Explaining to the child that it will only hurt for a short time does nothing to alleviate the hypoxia.

Tuesday, 11 August 2020

Question Of The Day, Infant
Q. An infant is hospitalized for treatment of inorganic failure to thrive. Which nursing action is most appropriate for this child?

A. Encouraging the infant to hold a bottle
B. Keeping the infant on bed rest to conserve energy
C. Rotating caregivers to provide more stimulation
D. Maintaining a consistent, structured environment

Correct Answer: D

Reason: The nurse caring for an infant with inorganic failure to thrive should strive to maintain a consistent, structured environment because it reinforces a caring feeding environment. Encouraging the infant to hold a bottle would reinforce an uncaring feeding environment. The infant should receive social stimulation rather than be confined to bed rest. The number of caregivers should be minimized to promote consistency of care.

Monday, 10 August 2020

Question Of The Day, The Nursing Process
Q. Which of the following should be included in the plan of care for a client with a surgical wound that requires a wet-to-dry dressing?

A. Place a dry dressing in the wound.
B. Use Burrow's solution to wet the dressing.
C. Pack the wet dressing tightly into the wound.
D. Cover the wet packing with a dry sterile dressing.



Correct Answer: D

Reason: A wet-to-dry dressing should be able to dry out between dressing changes. Thus, the dressing should be moist, not dry, when applied. As the moist dressing dries, the wound will be debrided of necrotic tissue, exudate, and so forth. Normal saline is most commonly used to moisten the sponge; Burrow's solution will irritate the wound. The sponge should not be packed into the wound tightly because the circulation to the site could be impaired. The moist sponge should be placed so that all surfaces of the wound are in contact with the dressing. Then the sponge is covered and protected by a dry sterile dressing to prevent contamination from the external environment.

Saturday, 8 August 2020

Nursing Career, Nursing Responsibilities, Nursing Job, Nursing Degree

I feel the need to apologize for the state of our current profession. By saying that, I don’t mean anything negative towards nursing in general, it’s actually quite contrary. I have more pride than ever in our profession.

I worry, however, that your first year will bring so many different challenges and obstacles that I didn’t have to face as a new nurse. The past four months have taken a toll on nurses worldwide, and I fear that the enthusiasm and zest for this profession will be muddled under a veil of exhaustion and compassion fatigue. Just know that although we may not greet you with streamers and kazoos, behind our tired eyes and blistered faces we are ecstatic to welcome you into our family.

This year’s group of new nurses face an uphill learning curve that hasn’t been experienced before. These ever-changing scenarios will be frustrating to navigate, and I can’t imagine the added stress you will be under to learn the nuances of this job in the midst of a Pandemic. 

◉ It’s hard enough learning the skills, time management, and medications, but now hospitals have policies that change faster than a woman changes out of her Spanx after a long night out.

◉ Hospitals have shortened orientations and eliminated residency programs as a result of budget cuts and an increasing demand for full time nurses.

◉ Since the development of COVID + units, nurses often float between departments at a higher frequency than normal which may result in an inconsistent staff to learn beside.

Show Me Nursing Programs

I urge you to find your people. Regardless of your department or hospital, there are always people around you ready and willing to help. Although you sometimes have to look harder to find them than others, find the coworkers that you feel safe asking questions to, will laugh with you at your mistakes, and will take the additional 30 seconds to help you navigate your way. Sometimes these people will be your preceptors, and other times it might be your Respiratory Therapist. On tough days when nothing feels right, text or call a friend from nursing school and commiserate together on the challenges and difficulties of this season. Oftentimes, the most meaningful comfort you can receive is the affirmation of a friend who is in the same scenario that you are walking through. Nursing is far from an independent profession, it’s the “you hold this butt cheek, I’ll hold the other” teamwork and reliability that carries us through.

I write this to you, beloved new grad, to tell you that although you are entering this profession at an unprecedented time, I know that you will come out of this experience far stronger than you could ever imagine. You have already proven your resiliency by graduating in unconventional ways, fighting for a position regardless of the potential dangers, and continually showing up despite the uncertainty in healthcare today. When you feel like you have hit your breaking point, which is an incredibly normal and predictable emotion to feel in those first few months, just remember that you are stronger than your surroundings.

Source: nurse.org
Q. A woman is taking oral contraceptives. The nurse teaches the client to report which of the following danger signs?

A. Breakthrough bleeding.
B. Severe calf pain.
C. Mild headache.
D. Weight gain of 3 lb.




Correct Answer: B

Reason: Women who take oral contraceptives are at increased risk for thromboembolic conditions. Severe calf pain needs to be investigated as a potential sign of deep vein thrombosis. Breakthrough bleeding, mild headache, or weight gain may be common benign side effects that accompany oral contraceptive use. Clients may be monitored for these side effects without a change in treatment.

Friday, 7 August 2020

Question Of The Day, Basic Psychosocial Needs
Q. The health care provider at a prenatal clinic has ordered multivitamins for a woman who is 3 months' pregnant. The client calls the nurse to report that she has gone to the pharmacy to fill her prescription but is unable to buy it as it costs too much. The nurse should refer the client to:

A. The charge nurse.
B. The hospital finance office.
C. Her hospital social worker.
D. Her insurance company.

Correct Answer: C

Reason: The social worker is available to assist the client in finding services within the community to meet client needs. This individual is able to provide the names of pharmacies within the community that offer generic substitutes or others that utilize the client's insurance plan. The charge nurse of the unit would be able to refer the client to the social worker. The hospital finance office does not handle this type of situation and would refer the client back to the unit. The client's insurance company deals with payments for health care and would refer the client back to the local setting.

Thursday, 6 August 2020

Q. As a nurse helps a client ambulate, the client says, "I had trouble sleeping last night." Which action should the nurse take first?

A. Recommending warm milk or a warm shower at bedtime
B. Gathering more information about the client's sleep problem
C. Determining whether the client is worried about something
D. Finding out whether the client is taking medication that may impede sleep

Correct Answer: B

Reason: The nurse first should determine what the client means by "trouble sleeping." The nurse lacks sufficient information to recommend warm milk or a warm shower or to make inferences about the cause of the sleep problem, such as worries or medication use.

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