Answer to Question 1
A, B, C
Following a lumbar puncture, the patient should be assessed for drainage at the puncture site, evidence of post-puncture headache, or elevation of temperature. Allergic skin reaction and gastric distress are not associated with post-lumbar puncture concerns.
Answer to Question 2
A
Feedback
A Correct. During hospitalization of school-aged children, every effort needs to be put forth to help those whose primary focus is school-related to continue to learn and maintain their individual strengths.
B Incorrect. The nurse assigned to work with school-aged children who have been hospitalized knows that from a developmental viewpoint their special needs does not include someone to supervise their activities.
C Incorrect. The nurse assigned to work with school-aged children who have been hospitalized knows that from a developmental viewpoint their special needs does not include an adult to debate life's issues with.
D Incorrect. The nurse assigned to work with school-aged children who have been hospitalized knows that from a developmental viewpoint their special needs does not include opportunities to regress without fear. Instead, they need to maintain their skills and to continue learning.
NURSE
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Emphysema. (a) Illustration comparing normal lungs and emphysemic lungs. The inserts illustrate how
Patient conditions not appropriate for elctronic blood pressure measurement
Patient teaching: nail assessment
Areas of sclerosis (see arrows) in the white matter of a patient with MS.