A mother delivered her baby at midnight and it is now 0900 . She wants to sleep and asks the nurse to take care of the baby. The nurse recognizes this is an example of:
a. fatigue from labor.
b. normal "taking in" response.
c. abnormal "taking in" response.
d. risk for altered maternal-infant bonding.
B
Her primary focus will be on her own needs such as sleep ("taking in" stage).
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The nurse is preparing a teaching plan for the family and their 6-year-old son who has just been diagnosed with diabetes mellitus. Which of the following would the nurse identify as the initial goal for the teaching plan?
A) Developing management and decision-making skills B) Educating the parents about diabetes mellitus type 1 C) Developing a nutritionally sound, 30-day meal plan D) Promoting independence with self-administration of insulin
Based on current data, when presenting an older adult's discharge teaching plan, the nurse includes the patient's
a. nonrelated caretaker. b. paid caregiver. c. family member. d. intuitional representative.
A nurse is caring for four clients taking various medications, including imipramine (Tofranil), doxepine (Sinequan), ziprasidone (Geodon), and tranylcypromine (Parnate). The nurse orders a special diet for the client receiving which medication?
A. Tofranil B. Senequan C. Geodon D. Parnate
Which priority nursing actions should the nurse take prior to administering penicillin G benzathine (Bicillin LA) to a client?
A. Have the client lie down and assess vital signs. B. Inquire about a history of allergies to penicillin. C. Inform the client that they will need be observed for 30 minutes after the injection. D. Inform the client that they will need someone to drive them home. E. Advise the client to rest for the remainder of the day.