The nurse is working with a mother who has just delivered her third child at 33 weeks' gestation. The mother says to the nurse, "This baby doesn't turn his head and suck like the older two children did. Why?" What is the best response by the nur
1. "Every baby is different. This is just one variation of normal that we see on a regular basis."
2. "This baby might not have a rooting or sucking reflex because she is premature."
3. "When she is wide awake and alert, she will probably root and suck even if she is early."
4. "She might be too tired from the birthing process and need a couple of days to recover."
2
Explanation: 2. Preterm babies may have suppressed or absent root and suck reflexes.
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Which of these nursing diagnoses would be appropriate for a client who is experiencing moderate anxiety?
a. hopelessness c. ineffective coping b. post-trauma syndrome d. spiritual distress
You are the nurse caring for an adult patient who has developed a mild oral yeast infection following chemotherapy. What should you encourage the patient to do? (Mark all that apply.)
A) Use a lip lubricant B) Scrub the tongue with a firm-bristled toothbrush C) Use dental floss every 24 hours D) Rinse the mouth with normal saline E) Eat hot foods to aid in killing the yeast
Which interventions will the nurse implement to assure effective staff crises management skills? Select all that apply
a. Schedule regular staff crises simulations. b. Encourage the staff to discuss the details of unit crises. c. Attempt to identify staff who are ineffective during crises. d. Review documentation that describe the details of unit crises. e. Review unit crises management policies for needed updates.
Because of compromised immune function, K.D. is at risk for developing other opportunistic
infections. List at least five. What will be an ideal response?