At birth, an infant weighed 8 pounds 4 ounces. Three days later, the newborn is being discharged. The parents note that the baby now weighs 7 pounds 15 ounces. The nurse explains that the change in the newborn's weight is:
1. Excessive.
2. Within normal limits.
3. Less than expected.
4. Unusual.
2
Rationale 1: This is not an excessive weight loss.
Rationale 2: This newborn's weight loss is within normal limits. During the first 5–10 days of life, caloric intake is often insufficient for weight gain. Therefore, there can be a weight loss of 5% to 10% in term newborns.
Rationale 3: This is not a less-than-expected amount of weight loss.
Rationale 4: This weight loss is not unusual.
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A 63-year-old Chinese-American man enters the hospital with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflects the nurse's best course of action?
a. The nurse should focus on performing a full cardiac assessment. b. The nurse should focus on psychosomatic complaints because the patient has just learned that his wife has cancer. c. This patient is not in any danger at present; therefore, the nurse should send him home with instructions to contact his physician. d. It is unclear what is happening with this patient; consequently, the nurse should perform an assessment in both the physical and the psychosocial realms.
The nurse performing a family assessment determines that the parents jointly make decisions regarding family rules and apportion the family resources in ways that serve the interests of all members
Plans for the future exist but are flexible and allow for changing circumstances. The three teenage children participate in discussions but do not have responsibility for decisions. The assessment the nurse should document is: a. family management function is appropriate and adequate. b. boundary function makes a distinction between individuals. c. communication function of the family is healthy. d. emotional-supportive function is dominated by conflict.
A woman is being treated for PMS that is interfering with the quality of her life. The care plan for this woman includes promoting positive coping measures. What might this involve?
A) Reduction of anxiety over mental health B) Encouraging the woman's partner to offer assistance with child care C) Referral to a psychiatrist for assessment of suicidal ideations D) Teach the patient how to journal about her nutritional needs
The nurse is teaching a community class on risk factors for heart disease. Which fact should be included about the effects of stress on the heart?
A) Hostility and anxiety are risk factors for heart disease. B) Psychosocial stress has a protective effect on the heart. C) A positive emotional state is a risk factor for heart disease. D) Psychosocial stress is not a risk factor for acute myocardial infarction.