A nurse has completed an assessment and diagnosed a family's problems. Which of the following actions should the nurse take next?
a. Determining which problem should be addressed first
b. Emphasizing the family's adaptability, strengths, and resources
c. Sharing conclusions with the nurse's employing agency
d. Writing the diagnoses in the order of their priority
ANS: B
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The nurse reviews the physician's orders for the postpartum client admitted to the unit and finds orders for pain that includes Percocet (acetaminophen and oxycodone) 1-2 tablets every 4 hours p.r.n
and Tylenol (acetaminophen) 1000 mg every 4 hours p.r.n. The client reports pain rated 7 on a 1-10 scale with 10 being worst. What medication would the nurse administer? 1. Tylenol (acetaminophen) 1000 mg 2. Percocet 1 tablet now and another 1 in an hour if no relief 3. Percocet 1 tablet 4. Percocet 2 tablets
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.
A school nurse often observes adolescents challenging the decision making of their parents and teachers. Which of these developmental theorists relates this as an expected occurrence?
A) Piaget B) Freud C) Havighurst D) Erikson
A 45-year-old mother gave birth to a baby boy two days ago. The nurse assesses a single palmar crease, poor muscle tone, and low-set ears on the newborn
The nurse understands that these signs most likely indicate the infant has which autosomal abnormalities? 1. Trisomy 13 2. Trisomy 18 3. Trisomy 21 4. Trisomy 26