Answer to Question 1
A
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A When restraints are necessary, the nurse should institute the least restrictive type
of restraint.
B Knots must be tied so that they can be easily undone for quick access to the
child.
C The ties are never tied to the mattress or side rails. They should be secured to a
stable device, such as the bed frame.
D Restraints are removed every 2 hours to allow for range of motion, position
changes, and assessment of skin integrity.
Answer to Question 2
A
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A Ventricular septal defect causes a left-to-right shunting of blood, thus increasing
pulmonary blood flow.
B Coarctation of the aorta is a stenotic lesion that causes increased resistance to
blood flow from the proximal to distal aorta.
C The defects associated with tetralogy of Fallot result in a right-to-left shunting of
blood, thus decreasing pulmonary blood flow.
D Pulmonary stenosis causes obstruction of blood flow from the right ventricle to
the pulmonary artery. Pulmonary blood flow is decreased.
The nurse assists the patient in reflecting on his feelings
Critical thinking and delegation
Comparing fossil patterns of the Hadar Baby, the Taung Child, and Au. Robustus.
Helping maintain accurate patient records is a critical part of the medical assistant's work.
The nurse conveys attentive listening through a posture of involvement