What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
a. Reach the child to minimize body movements.
b. Change the child's position frequently.
c. Keep the head of the child's bed flat.
d. Keep edematous areas moist and covered.
ANS: B
The child should be turned frequently to prevent respiratory tract infection and to prevent pressure on delicate skin.
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Stress reduction while in nursing school is an important part of maintaining one's health. Holistic cognitive theory for stress reduction has four steps. The first step is to achieve awareness. In this first step one:
a. becomes aware of the early physical signs of stress. b. concentrates on placing oneself as the center of everything. c. mentally filters one's perceptions. d. disqualifies the positive in the experience.
An infant at 36 weeks of gestation has increasing respirations (80 to 100 breaths/min with marked substernal retractions). The infant is given oxygen by continuous nasal positive airway pressure. Which arterial oxygen level would indicate hypoxia?
a. PaO2 of 67 b. PaO2 of 89 c. PaO2 of 45 d. PaO2 of 73
With regard to primary and secondary powers, the maternity nurse should know that:
a. Primary powers are responsible for effacement and dilation of the cervix. b. Effacement generally is well ahead of dilation in women giving birth for the first time; they are closer together in time in subsequent pregnancies. c. Scarring of the cervix caused by a previous infection or surgery may make the delivery a bit more painful, but it should not slow or inhibit dilation. d. Pushing in the second stage of labor is more effective if the woman can breathe deeply and control some of her involuntary needs to push, as the nurse directs.
The nurse is conducting discharge teaching to an adolescent with a methicillin-resistant staphylococcus aureus (MRSA) infection. What should the nurse include in the instructions? (Select all that apply.)
a. Avoid sharing of towels and washcloths. b. Launder clothes and bedding in cold water. c. Use bleach when laundering towels and washcloths. d. Take a daily bath or shower with an antibacterial soap. e. Apply mupirocin (Bactroban) to the nares twice a day for 2 to 4 weeks.