The nurse working in the newborn nursery brings the infant to the mother for feeding and performs what priority action first upon entering the room?
1. Change the infant's diaper.
2. Ask the mother if she would like to hold the baby.
3. Check the infant's ID bracelet against the mother's.
4. Requests that the visitors leave the room.
3
Rationale: Identification bracelets are placed on the mother and infant in the delivery room at the time of birth, and must be checked anytime the mother and infant are reunited by checking the numbers on the bracelets, which should match.
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Parents express concern about the milia on the face and nose of their infant. What is the nurse's most helpful response when instructing the parents?
a. Contact a pediatric dermatologist for topical medication. b. Squeeze out the white material after cleansing the face. c. Wash the infant's face with a mild astringent several times a day. d. Leave the milia alone; it will disappear spontaneously. No treatment is needed.
A client in the mental health unit is being evaluated for schizophrenia. In addition to having hallucinations, the nurse identifies which of the following observations that would support the diagnosis?
A) The client has frequent outbursts of yelling and shouting. B) The client has had symptoms for over 30 days. C) The client is convinced he is Elvis Presley. D) The client refuses to eat and come out of his room.
A patient is having diagnostic testing done after experiencing new-onset abdominal pain. Laboratory results reveal that the serum creatinine is elevated. The nurse would look for additional assessment findings of which disorder?
1. Appendicitis 2. Renal failure 3. GERD 4. Constipation
In reviewing laboratory results for patients suspected with polymyalgia rheumatica (PMR), you realize that there is no definitive test to diagnosis PRM, rather clinical response to treatment. Results you would expect to see include
A. Elevated erythrocyte sedimentation rate (ESR) greater than 50mm per hour B. Elevated rheumatoid factor and anti-citrullinated protein antibodies (RF and ACPA) C. Decreased C-reactive protein level (CR-P) D. Elevated thyroid stimulating hormone (TSH)