Which interventions should the nurse perform when an older patient reports a change in hearing? Standard Text: Select all that apply
1. Perform a Rinne test.
2. Eliminate extraneous noise.
3. Review prescribed medications.
4. Report the change to the physician.
5. Speak in a tone that includes shouting.
2,3,4
Rationale: A Rinne test is not appropriate at this time because it is a diagnostic test that evaluates air and bone conduction.
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A five-year-old child is on chemotherapy for rhabdomyosarcoma. Despite antiemetics, the child complains of nausea. The mother wants the child to eat and is pushing the child to eat the food
The nurse would talk with the mother and suggest that she not push the food on the nauseated child because: 1. The child does not need to eat as he is on intravenous fluids. 2. Forcing the child to eat may lead to a food aversion for the child. 3. Vomiting can lead to damage to the stomach. 4. Pushing the child to eat leads to a psychological conflict that may turn the child away from the parent.
During the history, the client admits to being HIV-positive, and says she knows that she is about 16 weeks pregnant
Which statements made by the client indicate an understanding of the plan of care both during the pregnancy and postpartally? Select all that apply. 1. "During labor and delivery, I can expect the zidovudine (AZT) to be given in my IV." 2. "After delivery, the dose of zidovudine (AZT) will be doubled to prevent further infection." 3. "My baby will be started on zidovudine (AZT) within 12 hours of delivery." 4. "My baby's zidovudine (AZT) will be given in a cream form." 5. "My baby will not need zidovudine (AZT) if I take it during my pregnancy."
An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include?
A) The mons pubis B) The clitoris C) Labia minora D) Labia majora
The pediatric nurse is providing care to a 35-week-old infant who has been in the neonatal intensive care unit for the past 3 weeks. His mother wants to breastfeed her son naturally but is currently pumping her breasts to obtain milk
His mother is concerned that she is only producing about 1 ounce of milk every 3 hours. The nurse's best response to the patient's mother would be: A) "Pumping is hard work and you are doing very well. It is good to get about 1 ounce of milk every 3 hours." B) "Natural breastfeeding will be a challenging goal for your baby. Beginning today, you will need to begin to pump your breasts more often." C) "Your baby will not be ready to go home for at least another week. You can begin to pump more often in the next few days in preparation for taking your child home." D) "You have been working hard to give your son your breast milk. We can map out a schedule to help you begin today to pump more often to prepare to take your baby home."