Because B.T. has several other problems, how will you determine what the priorities are that you need to address with B.T.?
What will be an ideal response?
The most important problem is the one B.T. and his wife are willing to work on, the one they identify
as most important. This helps cement their commitment to behavioral change. For example, they
decide he needs to exercise. Inform him that cardiac rehabilitation will help him become more
active and do it safely—he might even enjoy it! You may help him change his outlook because this is
something he thinks is important. Praise his wife for being supportive in helping both of them live a
healthier lifestyle.
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A mother is concerned that her newborn does not appear to be alert enough to feed and is very irritable. Which data documented in the mother's birth record might contribute to this newborn's behavior?
1. Length of labor was 8 hours. 2. Epidural during labor 3. Blood pressure of 114/82 4. Short second stage of labor
The patient at 39 weeks' gestation is undergoing a cesarean birth due to breech presentation. General anesthesia is being used. Which situation requires immediate intervention?
1. The baby's hands and feet are blue at 1 minute after birth. 2. The fetal heart rate is 70 prior to making the skin incision. 3. Clear fluid is obtained from the baby's oropharynx. 4. The neonate cries prior to delivery of the body.
The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?
A) Screening for congenital defects B) Screening for abuse C) Screening for childhood illnesses D) Screening for infectious diseases
The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD). When should the nurse monitor the child closely due to the risk of reaction?
1. Six hours after the transfusion is given. 2. At the end of the administration of the transfusion. 3. The first 20 mL of blood administered. 4. Never; children with SCD do not have reactions.