An infant is delivered and diagnosed with an omphalocele. The nurse develops a plan of care for this infant. The nurse understands that an omphalocele:
a. Is a small defect involving the bowel
b. Is a large defect involving bowel, liver, spleen, bladder, uterus, or ovaries
c. Should be ruptured as soon as possible
d. Does not require surgical repair
B
The nurse should understand that an omphalocele is a large defect involving many of the abdominal organs. It should not be ruptured, and great care is taken to maintain its integrity until surgical repair can be accomplished.
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The nurse is preparing to apply a cardiac monitor to a patient. Where should the nurse place the electrodes?
a. Over the indicated rib b. Near the indicated rib c. On soft spongy areas d. On the abdomen
While conducting a pain assessment, the nurse knows to assess which of the following? Select all that apply
1. Duration 2. Location 3. Intensity 4. Etiology 5. Neurology
The Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health recommends which of the following resources for preparing nurses to assume leadership positions across all levels?
A. Nurses, doctors, and hospital administrators B. Nurses, nursing education programs, and nursing associations C. Nursing associations, departments of public health, and consumer organizations D. Public, private, and governmental healthcare decisionmakers
A nurse is planning care for an asymptomatic child with a positive tuberculin test. The nurse should include which in the plan? Select all that apply
a. Administration of daily isoniazid (INH) b. Instructing family members about administration of isoniazid (INH) to all close contacts of the child c. Administration of the Bacillus Cal-mette-Guérin vaccine d. Reporting the case to the Health Department e. Administration of isoniazid (INH) and rifampin (Rifadin) simultaneously