Which is the first step in assisting the breastfeeding mother?
a. Assess the woman's knowledge of breastfeeding.
b. Provide instruction on the composition of breast milk.
c. Discuss the hormonal changes that trigger the milk ejection reflex.
d. Help her obtain a comfortable position and place the infant to the breast.
ANS: A
The nurse should first assess the woman's knowledge and skill in breastfeeding to determine her teaching needs. Assessment should occur before instruction. Discussing the hormonal changes and helping her obtain a comfortable position may be part of the instructional plan, but assessment should occur first to determine what instruction is needed.
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An older client has recently been put on high risk for fall precautions after a medication for high blood pressure was started. The client's daughter questions why this precaution was put in place. How should the nurse respond to the daughter?
1. "Every older client is automatically put on fall risk precautions." 2. "The client is attached to IV tubing and sequential compression devices." 3. "The client is on multiple medications that may have an interaction." 4. "The client was recently started on a medication that could cause a fall."
In assessing the patient with a significant right-sided closed head injury, the nurse would anticipate the patient to demonstrate which sign?
a. Left-sided motor deficit with sluggish right pupil response b. Right-sided motor deficit with brisk right pupil response c. Bilateral motor deficit with bilaterally sluggish pupil response d. Left-sided motor deficit and bilateral PERRLA
Amelia is diagnosed with bipolar disorder. During the course of treatment, she is discontinued from an antidepressant medication
The advanced practice nurse working with Amelia knows that in some individuals diagnosed with bipolar disorder, discontinuation of antidepressants may lead to: a. complete remission of symptoms b. suppression of cortisol c. hypothyroidism d. mania
A new nurse appears to be second-guessing herself and is constantly calling on the other nurses to double-check their plan of care or rehearse what they will say to the doctor before she call on the patient's behalf
This seems to be annoying some of the nurse's coworkers. What is the nurse manager's best response? a. Explain to coworkers that this is a characteristic of critical thinking and is important for the new nurse to improve reasoning skills. b. Agree with the staff and have someone follow and work more closely with a preceptor. c. Have a talk with the nurse and suggest asking fewer questions. d. Tell the staff that all new nurses go through this phase, and ignore their behavior.