The nurse is concerned that a new mother is going to have difficulty caring for her newborn once the baby is discharged from the neonatal intensive care unit. What client behaviors are consistent with nonadaptive responses? Select all that apply
1. Refusing to touch the infant
2. Grimacing when holding the infant
3. Expressing fear of taking the infant home
4. Asking staff questions about the infant's care
5. Blaming spouse for the infant's health problems
1, 2, 3, 5
Explanation:
1. Nonadaptive responses include a lack of interaction with the infant during hospitalization.
2. Nonadaptive responses include a negative view of the infant.
3. Nonadaptive responses include a fear of going home with the infant.
4. Asking staff questions about the infant's care is an adaptive response.
5. Nonadaptive responses include blaming others for the infant's condition.
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Shamika is 5 years old. She had surgery yesterday. In order to evaluate her pain the nurse will:
a. Expect the child to complain if she is in pain b. Observe for verbal and nonverbal cues that she is in pain c. Give pain medication if the child is crying d. Ask the child to rate her pain on a scale of 1 to 10
The nurse is determining if a patient is experiencing DKA or HHNS. Which information would help the nurse in making this determination?
1. Patients with DKA exhibit Kussmaul's respirations to blow off CO2 and reduce pH levels. 2. Patients with HHNS have lower arterial pH levels than those with DKA. 3. Patients with DKA have more visual disturbances than patients with HHNS. 4. Patients with HHNS have moderate hyperglycemia, whereas patients with DKA have more severe hyperglycemia.
A patient with atherosclerosis will also have:
A. hyperglycemia. B. hypercholesterolemia. C. hypoglycemia. D. hypotension.
On the eve of an important business meeting, Steve presents with symptoms of a severe allergy. Steve can ill-afford to appear sedated or under medication during this meeting, so he asks the doctor to prescribe a suitable antihistamine. Which of the following drugs is the doctor most likely to prescribe?
A. Chlorpheniramine B. Promethazine C. Hydroxyzine D. Diphenhydramine