What intervention should the nurse implement to help keep a 6 month old infant calm?

What intervention should the nurse implement to help keep a 6-month-old infant calm during a physical assessment? Give the infant a soft cuddly toy to hold. Remove the pacifier from the infant's mouth.

When administering a gavage feeding to a school-age child Which action should the nurse implement?

When administering a gavage feeding to a school-age child, which action should the nurse implement? Administer feedings over 5 to 10 minutes.

Which action is most important for the nurse to implement for a client at 36 weeks gestation who is admitted with vaginal bleeding?

Which action is most important for the nurse to implement for a client at 36-weeks gestation who is admitted with vaginal bleeding? Monitor uterine contractions.

Which behavior would the nurse expect a two year old child to exhibit quizlet?

Which behavior would the nurse expect a two-year-old child to exhibit? Two-year old children are egocentric and unable to share with other children. (A, B, and D) are behaviors of a preschooler. A 5-month-old is admitted to the hospital with vomiting and diarrhea.

Which intervention should the nurse implement as a priority in the management of a child with epiglottis?

If the medical team suspects epiglottitis, the first priority is to ensure that your or your child's airway is open and that enough oxygen is getting through. The team will monitor your or your child's breathing and blood oxygen level. If oxygen saturation levels drop too low, you or your child may need help breathing.

nursing interventions

Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention?

Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention? Assess for bladder distention. A client who is a Jehovah's Witness is admitted to the nursing unit.

What nursing interventions should the nurse perform based on her findings when assessing fundus?

(5) Nursing interventions. (a) Palpate the fundus frequently to determine continued muscle tone. (b) Massage the fundus, if boggy, until firm (do not over massage, this fatigues the muscle). (c) Monitor patient's vital signs every 15 minutes until stable.

Which behavior should the nurse anticipate for a new mother?

Which behavior should the nurse anticipate for a new mother with an uncomplicated vaginal birth on the third postpartum day? B. By the third postpartum day, the new mother should start to take hold of caring for her infant, by asking questions about infant care and initiating care of her infant.

Which of the following findings would be expected when assessing the postpartum client?

Which of the following findings would be expected when assessing the postpartum client? Fundus 1 cm above the umbilicus 1 hour postpartum. Within the first 12 hours postpartum, the fundus usually is approximately 1 cm above the umbilicus. The fundus should be below the umbilicus by PP day 3.

What nursing interventions are required when caring for a patient with a NGT?

Which nursing action is essential when providing continuous enteral feeding?

Which nursing action is essential when providing continuous enteral feeding? Elevating the head of the bed during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on his right side.

Which intervention should the nurse take for a client who is receiving continuous tube feedings?

Which intervention should the nurse take for a client who is receiving continuous tube feedings? Elevate the head of the bed at least 30 to 45 degrees to prevent aspiration. An elevation of at least 30 to 45 degrees or higher in a client receiving tube feedings will prevent reflux and prevent aspiration.

Which of the following would the nurse expect to include in the plan of care for a woman with mastitis who is receiving antibiotic therapy?

Which of the following would the nurse expect to include in the plan of care for a woman with mastitis who is receiving antibiotic therapy? Stop breast-feeding and apply lanolin.

Which of the following nursing interventions would the nurse perform during the third stage of labor?

During the third stage of labor, which begins with the delivery of the newborn, the nurse would promote parent-newborn interaction by placing the newborn on the mother's abdomen and encouraging the parents to touch the newborn.

Which nursing action is needed when preparing for assessment of the fundus of a postpartum client?

Which nursing action is needed when preparing for assessment of the fundus of a postpartum client? Ask the client to urinate and empty her bladder.

Which nursing intervention best enhances maternal infant bonding?

What nursing interventions are used to enhance maternal-infant bonding during the fourth stage of labor? Withhold eye prophylaxis for us to 1 hr. Perform newborn admission and routine procedures in room with parents. Encourage early initiation of breastfeeding.

Which nursing intervention is most appropriate in order to foster the development of trust in a hospitalized infant?

Which nursing intervention is most appropriate in order to foster the development of trust in a hospitalized infant? Explanation: The task of first the first year of life is to establish trust in the people providing care (the parents).

What are the interventions a nurse can do during the transition phase?

What nursing interventions should nurse Dee perform?

Provide firm, continuous fundal massage. The first action the nurse should take is to provide continuous and firm fundal massage. This will stimulate contraction of the uterus and its blood vessels, which will decrease blood loss. Nurse Dee is estimating the amount of blood loss.

What is a Fundal assessment?

Answer From Yvonne Butler Tobah, M.D. A fundal height measurement is typically done to determine if a baby is small for its gestational age. The measurement is generally defined as the distance in centimeters from the pubic bone to the top of the uterus.

What does a boggy fundus indicate?

Boggy uterus refers to a clinical finding in which the uterus is identified as enlarged and soft. The uterus, a muscular organ of the reproductive system, is capable of stretching in order to accommodate a growing fetus.

Which action is most important for the nurse to implement?

What nursing action should the nurse implement? Acknowledge that she is supporting the arm correctly. When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved.

What action is most important for the nurse to implement when placing a client in the SIM's position?

What action is most important for the nurse to implement when placing a client in the Sim's position? Raise the bed to a waist-high working level.

What interventions should the nurse implement to prevent a CAUTI from developing in a client who has a Foley catheter?

ANA Initiative to Prevent CAUTI

There are three areas to improve evidence-based clinical care to reduce the rate of CAUTI: (1) prevention of inappropriate short-term catheter use, (2) nurse-driven timely removal of urinary catheters, and (3) urinary catheter care during placement.

What are the nursing responsibilities and nursing care that the nurse need to provide to post partum patient?

In addition to patient and family teaching, one of the most significant responsibilities of the postpartum nurse is to recognize potential medical complications after delivery. Detailed information on obstetric and labor and delivery problems can be found in the Nursing CEU course Pregnancy Complications.