A nurse is assessing a newborn who is about 4½ hours old. The nurse would expect this newborn to exhibit which of the following? (Select all that apply.)
A) Sleeping
B) Interest in environmental stimuli
C) Passage of meconium
D) Difficulty arousing the newborn
E) Spontaneous Moro reflexes
B, C
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A client experiencing menopause voices an interest in using alternative and complementary therapies to manage symptoms. What initial response by the nurse is indicated?
A) "What types of therapies are of interest to you?" B) "Those seldom work." C) "Have you discussed this with your physician?" D) "Many women report success with these measures."
When performing a circulatory system assessment, the nurse suspects the client has a total arterial occlusion based on the following findings:
A) Extremity suddenly became white, cold, and painful. B) Client complained of absence of sensation or ability to move the extremity. C) Client complained of pain and numbness in the extremity. D) Extremity became deep red and cool to touch.
Your sister has recently gone through a divorce, and you are concerned about her health as she seems to have very little energy and is no longer interested in things she used to enjoy. She agrees to visit your family doctor for a check-up
If her physician determined she had a mental illness rather than a medical illness, his decision would most likely be based on: A) Identifying a cluster of symptoms she is experiencing. B) Determining the underlying pathology of her condition. C) Identifying a cluster of symptoms she is experiencing and determining that her functioning was impaired. D) Determining the underlying pathology of her condition and determining that her functioning was not impaired.
A registered nurse (RN) in charge of a long-term care facility who is working with a nursing assistant on the night shift prepares to take her break. To ensure client safety during her break, which of the following actions should the nurse take?
A. Conducting client rounds before taking the break B. Taking the break in the staff lounge located on the nursing unit C. Asking the nursing assistant to administer a medication placed at the client's bedside if the client awakens D. Asking the nursing assistant to monitor a client's tube feeding and to contact the nurse when the feeding bag is empty E. Asking the nursing assistant to contact the health care provider during the nurse's break if a client's pain medication is not effective F. Informing the nursing assistant that she is leaving the nursing unit to get a cup of coffee from a vending machine in the lobby