The nurse is caring for a baby who is 4 weeks old. The nurse finds that the newborn is breathing through the mouth. What does the nurse expect to be the most likely clinical condition for this observation?
A. Hypoxemia.
B. Cardiac disorder.
C. Nasal obstruction.
D. Laryngeal obstruction.
Ans: C. Nasal obstruction.
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What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.)
a. Use ointments. b. Keep perineum covered at all times. c. Use disposable diapers. d. Avoid plastic bloomers or pants. e. Change diaper frequently.
A client with schizophrenia has developed tardive dyskinesia secondary to a psychotropic medication. When a family member ask the nurse if anything can be done to stop the symptoms, the nurse explains:
A) "The physician will probably order an anticholinergic medication to reduce the symptoms." B) "If the antipsychotic medication is stopped, these symptoms are reversible." C) "If the lowest effective dose of the medication is given, the symptoms may decrease." D) "Another atypical antipsychotic medication will be given that doesn't have these side effects."
An adult client who cannot read needs surgery, and is competent to make his own decisions. The best action of the nurse is to:
A) Have a family member who can read sign the consent form. B) Make sure the physician explains the procedure to the client. C) Tell the client in the nurse's own words what the surgical procedure involves. D) Read the consent form to the client and have the client state understanding.
When assessing clubbed fingers in an 8-year-old child with a mixed congenital cardiac defect, the nurse is aware that this sign is due to:
a. Intermittent hypertension b. Shunting of the blood from left to right c. Chronic hypoxia d. Vasoconstriction