Which of the following best describes stress?
A) a response to changes in the normal balanced state
B) a perception that something is threatening
C) a response to internal environment for homeostasis
D) a localized response of a tissue or organ to a stressor
A
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While teaching the parents of a newborn about infant care and feeding, the nurse instructs the parents to:
1. Delay supplemental foods until the infant is 4–6 months old. 2. Delay supplemental foods until the infant reaches 15 pounds or greater. 3. Begin diluted fruit juice at 2 months of age, but wait 3–5 days before trying a new food. 4. Add rice cereal to the nighttime feeding if the infant is having difficulty sleeping after 2 months of age.
Accurate, complete, and appropriate nursing entries in a client chart include: Standard Text: Select all that apply
1. (date) 0200 Mrs. Smith appears to be sleeping.------S. Smith, LPN 2. (date) 0200 Client resting in bed with eyes closed.------S. Smith, LPN 3. (date) 0800 Client angry at husband for spending too much money. -------S. Smith, LPN 4. (date) 0900 Client refused 0400 dose of Amoxacillin.-------S. Smith, LPN 5. (date) 0700 Client smiling, talking on telephone. -----S. Smith, LPN
Which of these concepts used in current nursing practice was introduced by Nightingale?
a. encouraging involvement of family and friends in a client's care b. maintaining confidentiality c. organizing a methodical system of nursing administration d. organizing a system of differentiated nursing practice
Which actions could the nurse safely delegate to the unlicensed assistive personnel (UAP)? Select all that apply
1. Assist the client to use the bedpan for bowel elimination. 2. Change the ostomy appliance for the new ostomy. 3. Administer a cleansing enema. 4. Remove a fecal impaction. 5. Determine effectiveness of cleansing enema.