A newborn delivered at term is being discharged. The parents ask the nurse how to keep their baby warm. The nurse knows additional teaching is necessary if a parent states which of the following?
1. "A quick cool bath will help wake up my son for feedings."
2. "I can check my son's temperature under his arm."
3. "My baby should be dressed warmly, with a hat."
4. "Cuddling my son will help to keep him warm."
1
Explanation: 1. Cool baths will chill a newborn, and should not be given. Bathing under warm water is ideal.
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The writings of which individual are often used to assist the nurse in prioritizing care?
a. Nightingale c. Neuman b. King d. Maslow
The nurse prepares to change the client's dressing by using sterile technique. Which does the nurse implement to promote infection control?
1. Scrub drain insertion site in a back and forth manner. 2. Clean the incision from wound edges toward the center. 3. Remove old dressing with clean gloves; inspect the wound. 4. Don sterile gloves, remove dressing, and open sterile supplies.
The nurse is assisting in performing a physical assessment of a right-handed client's musculoskeletal system. Which of the following would be an abnormal finding?
1. Presence of fasciculations 2. Muscle strength of normal power 3. Symmetrical movements bilaterally 4. Hypertrophy of right upper arm of 1 cm
The client is receiving oxytocin (Pitocin) for induction of labor. Which assessment finding will most likely result in the nurse stopping the infusion?
1. The client tells the nurse she has a serious headache. 2. The vaginal exam reveals that the client is entering transition. 3. The client reports that the uterine contractions are strong in intensity. 4. Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds.