The nurse is caring for a postpartum woman who gave birth to a healthy, full-term baby girl. She has a 2-year-old son. She voices concern about her older child's adjustment to the new baby
Nursing actions that will facilitate the older son's adjustment to having a new baby in the house would include which of the following? (Select all that apply.)
a. Explain to the mother that she can have her son lie in bed with her when he is visiting her in the hospital.
b. Teach her son how to change the baby's diapers.
c. Assist her son in holding his new baby sister.
d. Recommend that she spend time reading to her older son while he sits in her lap.
ANS: a, c, d
Two-year-olds enjoy being close to their mothers, including lying next to their mothers or being held. Changing diapers is not viewed as a pleasurable experience and is not developmentally appropriate for a 2-year-old. Children enjoy being able to hold their sibling and feeling "grown up."
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The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient:
a. Will have no decrease in any of his abilities, including response time. b. Will have difficulty on tests of remote memory because this ability typically decreases with age. c. May take a little longer to respond, but his general knowledge and abilities should not have declined. d. Will exhibit had a decrease in his response time because of the loss of language and a decrease in general knowledge.
The nurse is preparing discharge teaching for four patients. Which patient should be advised by the nurse that over-the-counter cold and allergy preparations contain phenylephrine and should be avoided?
A) A 47-year-old woman with hypertension B) A 52-year-old man with adult onset diabetes C) A 17-year-old girl with symptoms of an upper respiratory infection D) A 62-year-old man with gout
The nurse is caring for a postoperative client who returned from surgery a few hours ago. The client is currently demonstrating shallow, slow breathing, with audible adventitious sounds
Which is the most likely cause for the client's clinical manifestations? 1. Low blood sugar 2. Pneumonia 3. Asthma 4. Deep narcotic sedation
The nurse provides care to patients in a long-term care facility that embraces the Continuity Theory of Aging. Which actions will the nurse plan to promote this theory? Standard Text: Select all that apply
1. Plan rest periods between activities. 2. Introduce patients to a wide variety of new activities. 3. Encourage family members to visit with the patients. 4. Suggest avoiding activities that do not bring satisfaction. 5. Remind patients that withdrawing from activities is expected