The nurse knows that an infant's susceptibility to hypoglycemia after birth is most likely due to
a. the presence of infection c. difficulty with breastfeeding
b. maternal hypergly-cemia d. pancreatic abnormalities
B
Maternal hyperglycemia is the most common cause of neonatal hypoglycemia.
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A client on the inpatient psychiatric unit asks the nurse, "Why is the daily schedule so full of activities and why do we have so many rules to follow?" Which of the following is the best response by the nurse?
1. "A daily routine helps you keep on track and organize your thoughts. The rules help people live together respectfully." 2. "Clients with mental illness get too chaotic and unpredictable when they don't have a structured routine to follow." 3. "Idle hands and minds are the devil's playground." 4. "The real world is full of rules and activities for everyone to follow."
Chlorpromazine (Thorazine) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. The nurse includes which information?
a. The patient needs to avoid caffeine while on this drug. b. The patient needs to wear sunscreen while outside because of photosensitivity. c. Long-term therapy may result in nervousness and excitability. d. The medication may be taken with an antacid to reduce gastrointestinal upset.
What statement best describes the basic concept of mass causality triage?
A. "The greatest good for the greatest amount of people" B. "First come, first served" C. "Women and children first" D. "First priority to the most critical"
The nurse is planning care for a patient with increased intracranial pressure. Which intervention would be appropriate for this patient?
1. Encourage family and physician to discuss patient's care and prognosis in the patient's room. 2. Assess for daily bowel movement and provide intervention as appropriate. 3. Maintain head of bed at a 15-degree angle with knee elevation. 4. Cluster care activities.