A premature infant never seems to sleep longer than an hour at a time. Each time a light is turned on, an incubator closes, or people talk near her crib, she wakes up and cries inconsol-ably until held
The correct nursing diagnosis is ineffective coping related to: 1. severe immaturity.
2. environmental stress.
3. physiologic distress.
4. interpersonal interactions.
2
1, 3, 4. Incorrect. Light and sound are known adverse stimuli that add to an already stressed premature infant.
2. Correct. This nursing diagnosis is the most appropriate for this infant.
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A 59-year-old male patient is scheduled for a hemorrhoidectomy. The OR nurse should anticipate assisting the other team members with positioning the patient in what manner?
A) Dorsal recumbent position B) Trendelenburg position C) Sims position D) Lithotomy position
A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse assesses the patient's stool after a bowel movement and notes it to be a tarry-black color. This finding is suggestive of bleeding from what location?
A) Sigmoid colon B) Upper GI tract C) Large intestine D) Anus or rectum
The public health nurse is participating in a health fair, and she interviews a woman with a history of hypertension who is currently smoking one pack of cigarettes per day
She has had no manifestations of coronary artery disease (CAD) but a recent low-density lipoprotein (LDL) level of 154 mg/dL was found. Based on her assessment, the nurse would expect that this patient would be treated in what way? A) Drug therapy and smoking cessation B) Diet and drug therapy C) Diet therapy only D) Diet therapy and smoking cessation
The most effective way to assess the quantity of pain is to ask the patient to
a. describe the pain as minor, moderate, or severe. b. classify the pain as small, medium, or large. c. rate the pain on a scale from 0 to 10. d. compare the pain with pain experienced in the past.