The nurse is providing discharge teaching to the parents of a newborn. The nurse should instruct the parents to notify the healthcare provider in case of: Select all that apply
1. More than one episode of forceful vomiting.
2. More than 6–8 wet diapers per day.
3. A bluish discoloration of the skin with or without a feeding.
4. Refusal of two feedings in a row.
5. Development of eye drainage.
1,3,4,5
Rationale 1: Forceful vomiting can quickly lead to dehydration, and can be a sign of illness.
Rationale 2: This is the normal number of wet diapers per day, and is not a sign of illness.
Rationale 3: This condition is a cause for concern, and should be reported to the healthcare provider immediately.
Rationale 4: The infant can quickly become dehydrated, and will need to be assessed for illness.
Rationale 5: The infant should not have eye drainage after discharge; this can be a sign of illness.
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Adjunctive therapies are used for which reasons? (Select all that apply.)
a. To increase self-esteem b. To promote positive interaction c. To enhance reality orientation d. To stimulate communication e. To increase energy
If a patient were to overdose on a cholinesterase inhibitor, which intervention would the nurse expect for the resultant respiratory depression?
a. Physostigmine b. Succinylcholine c. Atropine d. Mechanical ventilation
patient with spasticity of the upper extremity after a stroke asks why a sling is not used to support the arm. Which rationale should the nurse provide?
1. The use of a sling will reinforce the spasticity and may promote a contracture. 2. A sling will alter your center of balance when standing. 3. The presence of a sling will make it difficult for you to assume responsibility for activities of daily living like dressing. 4. You will not be able to participate in therapy if you get accustomed to your arm being in a sling.
MC Transdermal medication administration may be less effective in
A. elderly clients B. thin clients C. obese clients D. darkly pigmented clients