The parents are distressed about the appearance of their baby who has a Logan bow in place following the repair of a cleft lip. The nurse explains that the bow is a very important piece of post-surgical equipment because it:
a. Helps to satisfy the baby's sucking need
b. Helps shape the lip
c. Reduces tension on the suture line
d. Makes nursing easier in the post-surgical period
C
The Logan bow reduces tension on the suture line.
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Which of the following data represent analysis? (Select all that apply.)
A. Temperature = 100° F B. Hypertension C. Pulse oximetry = 98% D. Tachycardia E. Nonpalpable dorsalis pedis pulses are not palpable
Concerning rubella and Rh issues, nurses should be aware that:
1. breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus. 2. women should be warned that the rubella vaccination is teratogenic and they must avoid pregnancy 2 to 3 months after vaccination. 3. Rh immune globulin is safely administered IV because it cannot harm a nursing infant. 4. Rh immune globulin boosts the immune system and so enhances the effectiveness of vaccinations.
An oncology nurse is caring for a client suffering from metabolic encephalopathy and end stage kidney disease. The client has no known family and no advanced directives. Upon entering the room, the nurse observes the client is pale and has no spontaneous respiration. What is the priority action the nurse should take?
a. Begin CPR. b. Notify the charge nurse. c. Contact the physician. d. Call the coroner.
The nurse is performing hand hygiene before assisting a physician with insertion of a chest tube. While washing hands, the nurse touches the sink. What is the next action the nurse should take?
a. Inform the physician and recruit another nurse to assist. b. Rinse and dry hands, and begin assisting the physician. c. Repeat handwashing using antiseptic soap, d. Extend the handwashing procedure to 5 minutes.