The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates a need for further teaching?
A) "I will give him a pacifier during feeding time."
B) "We need to keep feeding time very quiet."
C) "We need to make sure he doesn't lose the desire to eat by mouth."
D) "Sucking produces saliva, which aids in digestion."
Ans: B
The nurse needs to emphasize that it is important to talk, play music, cuddle, and rock the infant to promote a normalized feeding time. The other statements are correct.
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A client is having a blood test to determine the amount of insulin that is made in her body. The nurse realizes that insulin is needed to:
a. aid in the diffusion of glucose into the liver and muscle cells and the synthesis of glycogen. b. break down glucose so it can be used by the body. c. convert triglycerides into glucose for use by the body. d. convert proteins into energy for use by the body.
The nurse instructs the parents of a newborn on actions to prevent sudden infant death syndrome (SIDS). Which observation indicates that teaching has been effective?
A) Newborn is placed on the back to sleep. B) Mother removes a pacifier from the baby's mouth. C) The baby is on an every-2-hour formula-feeding schedule. D) Parents signed a waiver refusing routine immunizations after birth.
While caring for a patient with thoracic injuries from a motor vehicle crash, the nurse suspects the patient is developing cardiac tamponade because of which assessment findings? Note: Credit will be given only if all correct choices and no
incorrect choices are selected. Select all that apply. 1. Dropping blood pressure 2. Jugular vein distention 3. Muffled heart sounds 4. Drop in blood pressure on inspiration 5. Increase in blood pressure on inspiration
After teaching a class about factors that enhance the risk of suicide, the instructor determines the need for additional teaching when the class identifies which of the following?
A) Family member committing suicide B) Cautiousness C) Delusions D) Loss