A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:

Tell the child that it will not hurt.

Have the parent hold tightly onto the child during the procedure.

Allow the child to operate the equipment.

Defer taking the blood pressure until the next visit.

Answer and Explanation

The Correct Answer is C

A.   Telling the child that it will not hurt may not be effective, as children may still have anxiety or fear related to the unknown.

B.   Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure.
C.   Allowing the child to operate the equipment can give the child a sense of control and involvement, increasing cooperation.
D.   Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.

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Correct Answer is A

Explanation

A. Giving oral care to a client who cannot take oral fluids is a task that can be safely delegated to an assistive personnel.
B. Checking intravenous insertion sites for signs of infiltration requires nursing judgment and assessment skills and should be performed by a licensed nurse.
C. Assessing a client's ability to ambulate involves clinical judgment and should be performed by a licensed nurse.
D. Demonstrating how to use a glucometer to a client with diabetes requires nursing knowledge and education skills and should be performed by a licensed nurse.

Correct Answer is ["150"]

Explanation

The question is about calculating the IV infusion rate for a given solution and volume.

The formula for the infusion rate is: (volume in mL / time in hours) x drop factor in gtts/mL = infusion rate in gtts/min

The drop factor is usually given on the IV tubing package and varies depending on the type of tubing used.

For this question, we can assume a drop factor of 15 gtts/mL, which is common for macrodrip tubing.

Plugging in the numbers, we get: (1200 mL / 8 hr) x 15 gtts/mL = 2250 gtts/hr

To convert from gtts/hr to mL/hr, we divide by the drop factor: 2250 gtts/hr / 15 gtts/mL = 150 mL/hr

Therefore, the nurse should set the IV pump to deliver 150 mL/hr.

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A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse should assign which of the following tasks to an assistive personnel?

Correct Answer is A

Explanation

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1,200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero is applicable. Do not use a trailing zero.)

Correct Answer is ["150"]

Explanation

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