An infant is born at 24 weeks' gestational age. Which of these interventions should the nurse plan when the infant is discharged home?
1. Instructing the parents that infants need warmed milk and to heat the milk in a microwave for no more than 15 seconds
2. Giving the parents information on HIV screening that is necessary for infants born at this gestational age
3. Referring the infant for developmental screening
4. No particular instructions are necessary because discharge teaching is completed immediately after the birth of the infant.
3
Rationale 1: Milk should never be heated in a microwave. It is possible for "hot spots" to develop in the milk and burn the baby's mouth.
Rationale 2: HIV testing would have been completed during the immediate newborn period.
Rationale 3: Premature infants need to be referred for developmental assessment soon after discharge from the hospital.
Rationale 4: Discharge instructions are given multiple times during the infant's stay in the hospital and would need to be repeated again and written prior to discharge.
Global Rationale:
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A nurse is aware that the concepts of genotype and phenotype must be included in any consideration of pharmacogenetics. Which of the following statements is true of these concepts?
A) Genotype is an expression of DNA, but phenotype is a cultural concept. B) Genotype is easily modifiable, but phenotype is not modifiable. C) Genotype is a consequence of the genetic makeup of an individual's parents while phenotype is unique to every individual. D) Genotype is the composition of person's DNA, but phenotype is the manifestation of these genes.
The most significant mental losses due to normal aging include
1. depression. 2. slower response times. 3. improved short-term memory. 4. decreased levels of tolerance.
A nurse is formulating the diagnostic statement for a client who had a motor vehicle accident. The healthcare facility where the nurse is employed uses a three-part diagnostic statement on the electronic medical record. The client has bruises in the anterior chest and is unable to move independently when sitting up or lying down. Which is the best example of a correct diagnostic statement?
A) Impaired mobility of anterior chest related to bruises and swelling AEB motor vehicle accident B) Impaired mobility of anterior chest related to the motor vehicle accident AEB bruises and swelling C) Impaired mobility of anterior chest AEB bruises and swelling D) Impaired movement of the anterior chest related to the motor vehicle accident
Personal and professional values
a. determine our ethics or our code of conduct. d. develop from personal backgrounds and educational systems. b. develop from our family, friends, culture, and environment. e. determine our thoughts and responses in ethical dilemmas with clients. c. are instilled at birth. f. make a nurse treat everyone fairly.