The nurse is performing a postpartum homecare visit. Which teaching has the highest priority?
1. Teaching or reviewing how to bathe the baby
2. Teaching how to thoroughly childproof the house
3. How many wet diapers the baby should have daily
4. Prevention of plagiocephaly
3
Explanation: 3. Assessment of intake, output, weight, and hydration status is imperative. The baby should have at least six diapers that are saturated with clear urine each day by 1 week of age. Wet diapers are an indication of hydration of the newborn. This is the highest priority.
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You are caring for a client with open-angle glaucoma. You know that this disease causes which of the following? Select all that apply
A) Atrophy of nerve fibers in the central area of the retina B) Edema of the lens C) Degeneration of the optic nerve D) Edema of the cornea E) Atrophy of nerve fibers in the peripheral areas of the retina
A client has been diagnosed as having impaired swallowing and complains of frequent heartburn. The nurse should:
1. Assist the client in maintaining a sitting position for 30 minutes after the meal. 2. Teach the client the "chin tuck" technique when swallowing. 3. Check the client's mouth for pocketing of food. 4. Assist the client to a 90°sitting position, or as high as tolerated, during meals.
The nurse is helping a neuropsychiatric client increase the level of functioning. The nurse understands that the client must learn the needed skills by which of the following techniques? Select all that apply
A) Working with other families B) Practicing the skill C) Reading the provided handouts D) Self-evaluating E) Modeling behavior
An elderly client is admitted with worsening dementia. Which of the following health problems should the nurse consider as causing this client's dementia?
1. Depression 2. Alzheimer's disease 3. Memory impairment 4. Alcohol withdrawal