The nurse should assess the infant's umbilical cord frequently during the first few hours after birth for:
a. Pallor
b. Bleeding
c. Herniation
d. Infection
ANS: B
In the first few hours after birth, the most serious complication related to the umbilical cord is hemorrhage. Infection would not be evident for several days.
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A client recovering from surgery to place a permanent colostomy as treatment for colon cancer is concerned that her spouse will no longer find her sexually attractive. Which response by the nurse is the most appropriate?
A) "Tell me more about the concerns you are having." B) "Would you like me to speak with your husband for you?" C) "Do not worry about sex right now. It is more important to focus on recovery." D) "I will refer you to a counselor to talk about your concerns."
A nurse calls a physician and after identifying herself and the patient, the nurse informs the physician that the patient is vomiting and complaining of abdominal pain. Which component of SBAR communication is being used in this situation?
a. Situation b. Background c. Assessment d. Recommendation
The nurse is assessing a patient diagnosed with obstructive shock due to a pulmonary embolism. Which of the following is the nurse most likely to assess in this patient?
1. dyspnea and pleuritic pain 2. peripheral edema and split S2 3. headache and nausea 4. hypotension with orthostatic changes
Pastoral ministry is never available to subacute patients
Indicate whether the statement is true or false.