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A 4 year child comes to the emergency department. The child is wearing a Superman costume and is crying in pain. The parent says to the triage nurse, “I think he broke something when he fell off the bed. I told him not to jump on the bed. He kept saying, look at me ‘I am flying.'” The x-ray reveals a broken clavicle. Is this a true or false statement? Incompatibility between the history and the injury is probably the most important criterion for the decision to report suspected abuse.

Magnesium sulfate (MgS04) is being administered intravenously to a client with severe pre-eclampsia for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity?  (Select all that apply.)

The nurse decreases the oxytocin infusion for an augmented labor after which assessment result?

Which of the following statements is true regarding the information used in responding to and handling an incident?

True or False? The process known as “lessons learned” seeks to guarantee that mistakes are only made once and not repeated.

A post-op patient who underwent spine surgery has returned to the medical-surgical unit after recovery. The patient had an indwelling urinary catheter during the surgery that was taken out three hours ago in the PACU; however, the client cannot urinate and has informed their nurse.   The patient has no IV fluids running, has started a regular diet, and his pain is well controlled. What should be the next course of action for the nurse?

Baby Dylan is going home with a prescription for Digoxin.  Parent education includes observing for signs of toxicity such as vision changes like halos, blurry vision and _______________. (Select all that apply.)

Your patient who has been admitted for a peptic ulcer suddenly has sever pain, a rigid abdomen, shallow/rapid respirations, absent bowel sounds and nausea. What complication related to his peptic ulcer would you suspect has happened?

True or False? Policies and standards are a collection of comprehensive definitions and should contain a significant level of detail and description.

A  pre-term infant who had surgery for necrotizing enterocolitis is now six months old and has short bowel syndrome. He is dependent on parenteral nutrition. In addition to growth failure, the clinic nurse is aware that the infant should be closely observed for the development of the following:  (select all that apply)