A newborn assessment reveals the presence of cyanosis, respiratory distress, and a flat, scaphoid abdomen. What should the nurse suspect?
a. Diaphragmatic hernia c. Poor abdominal musculature
b. Bowel obstruction d. Pyloric stenosis
A
The nurse should suspect a diaphragmatic hernia because this hernia allows the anatomical contents of the abdomen to rise up into the thoracic cavity, and it results in hypoplasia of the lungs. A bowel obstruction is characterized by emesis, distended abdomen, etc. Poor abdominal musculature is not as common a complication as diaphragmatic hernia. Pyloric stenosis is characterized by projectile vomiting.
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A patient with chronic kidney disease is diagnosed with hypertension. The nurse realizes that this patient's blood pressure needs to be controlled because
1. not doing so increases the risk of adverse effects on the kidneys. 2. it is the easiest diagnosis to treat. 3. medications are available to treat this disorder. 4. everyone should have low-normal blood pressure.
A novice mental health nurse shares that, "I'll never get used to playing cards or other games with patients. It seems like a poor use of scarce nursing time." The best response for the nurse's mentor would be:
a. "Perhaps you'll want to rethink your transfer to this unit if you're really uncom-fortable." b. "Your comments make a point about scarce resources. I'll ask the treatment team to review our position on activities." c. "Activity co-leadership puts us in a position to help patients develop social skills and support them as they take small risks." d. "Managed care has cost us activities therapists. Activities are necessary to give patients something to do, so we have to fill in."
The nurse equates a patient's behavior as being similar to that of a family member. In which way should the nurse's opinion be categorized?
1. Transference 2. Ethnocentrism 3. Cultural relativism 4. Countertransference
A patient reports experiencing deep, burning pain. In which way is this patient's pain being transmitted in the body?
A. C fibers B. Endorphins C. Dynorphins D. A-delta fibers