The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3-week-old baby. Which of the following recommended guidelines might be included in the teaching plan?
A) Place the baby on a soft mattress with a firm flat pillow for the head.
B) Place the head of the bed near the window to provide fresh air, weather permitting.
C) Place the baby on his or her back when sleeping.
D) If the baby sleeps through the night, wake him or her up for the night feeding.
C
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In assisting to develop a nursing care plan for the patient in shock, the nurse is aware of the risks involved in some of the intended interventions, and assesses carefully to recognize these risks should they occur. These are:
1. extravasation of vasopressors, causing tissue perfusion. 2. dysrhythmia drugs, causing ventricular tachycardia. 3. anticoagulants, causing blood clots. 4. immobility and catheters, causing bladder infections.
A patient with heart failure is sent home on lisinopril (Zestril). Which medication information should the nurse provide?
1. Lisinopril is a beta-blocker drug that will increase the pumping ability of the heart. 2. Lisinopril is an angiotensin II receptor blocker (ARB) that will lower the heart rate. 3. Lisinopril is a calcium channel blocker that could make heart failure worse. 4. Lisinopril is an ACE inhibitor that lowers blood pressure.
For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of “I sprained my ankle” B) An established patient with the chief complaint of “I have an upper respiratory infection” C) A new patient with the chief complaint of “I am here to establish care” D) A new patient with the chief complaint of “I cut my hand”
The nurse is caring for an older patient experiencing delirium. For which health problem should the nurse assess the patient? (Select all that apply.)
1. Drug abuse 2. Infection 3. Drug toxicity 4. Hypoxemia 5. Fluid volume deficit