When changing a diaper, the nurse observes that a 2-day-old infant has had a green black, tarry stool. What should the nurse do?
1) Notify the physician.
2) Do nothing; this is normal.
3) Give the baby sterile water until the mother's milk comes in.
4) Apply a skin barrier cream to the buttocks to prevent irritation.
ANS: 2
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A patient comes to the ambulatory care clinic with reports of getting hay into the eyes while farming. When providing care to the patient, which actions may be included in the plan of care? (Select all that apply.)
a. Flush the eye with warm water. b. Gently evert the upper lid to inspect un-derneath. c. Sweep the eye with a dampened cotton swab. d. Pull the upper lid over the lower lid to sweep underneath the upper lid. e. Ask the patient to rub the eyes with the lids closed to produce more tears.
You teach a child with type 1 diabetes mellitus to administer her own insulin. She is receiving a combination of short-acting and long-acting insulin. You know that she has appropriately learned the technique when she
A) administers the insulin into a doll at a 30-degree angle. B) draws up the short-acting insulin into the syringe first. C) wipes off the needle with an alcohol swab. D) administers the insulin intramuscularly into rotating sites.
A nurse practitioner is employed in a primary health care setting. Which services are most likely provided in this setting?
a. Primary health services and prison medicine services b. Public health and primary care services c. Family practice and geriatrics care d. Home health and school health services
Which nursing actions show a focus on the fundamental goals that guide psychiatric mental health nurses in providing patient care? Select all that apply
a. Offering an informational session of identifying signs of depression at a local senior center b. Attending a workshop on evidence practice interventions for the chronically de-pressed patient c. Keeping strict but appropriate boundaries with a patient diagnosed with a person-ality disorder d. Asking a parent who has just experienced the death of a child if they could con-sider talking with a grief counselor e. Identifying what help a patient diagnosed with Alzheimer's disease will need with instrumental activities of daily living (IADLs)