The nurse is assessing a newborn immediately after delivery. Which symptom would lead the nurse to suspect the newborn had a transposition of the great arteries?
A) blood pressure greater in the arms than in the legs B) hypoxia that improves with oxygen administration C) cyanosis that is relieved when the newborn is placed in a knee-chest position D) hypoxia that does not improve with oxygen administration
D
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A nurse on a postsurgical unit is providing care based on a clinical pathway. When performing assessments and interventions with the aid of a pathway, the nurse should prioritize what goal?
A) Helping the patient to achieve specific outcomes B) Balancing risks and benefits of interventions C) Documenting the patient's response to therapy D) Staying accountable to the interdisciplinary team
The nurse is planning an exercise class for a group of young adults. When promoting the benefits of regular exercise, which topics will the nurse include?
Select all that apply. 1. Reducing risk of cardiovascular disease. 2. Reducing risk of skin cancer. 3. Reducing risk of colon cancer. 4. Reducing risk of renal disease. 5. Reduced risk of hypertension.
A child is accompanied to the clinic by the grandmother rather than by the parents. The grandmother says, "I am substituting for my daughter today because she is ill." The nurse would like to add information to the child's health history
How should the nurse proceed? 1. Wait until the parents bring the child to an appointment. 2. Understand that a grandmother is an authority on the child's life. 3. Plan to validate any information with the parents at the next visit. 4. Check the grandmother's accuracy by validating some data with the medical record.
The nurse is planning care for a patient with a radioactive implant. Which intervention should the nurse select to help prevent social isolation in this patient?
a. Visit the patient frequently, but do not touch the patient. b. Help provide diversional activities that the patient enjoys. c. Have only one nurse provide care to increase consistency. d. Encourage family to stay with the patient, but have them wear masks and gloves at all times.