A woman is having difficulty burping her baby after feeding. Which instruction should the nurse give her?
a. "Hold him upright against your shoulder, and pat his back."
b. "Use the cradle hold, with his head slightly elevated, and rub his stomach."
c. "Give him a pacifier and hold him face down."
d. "Give him water, and hold him on his side."
ANS: A
The upright hold and patting or rubbing the back is a commonly used technique that causes air in the baby's stomach to rise or bubble upward. The other techniques mentioned would not help the baby expel swallowed air.
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A patient is taking cholestyramine (Questran) and ezetimibe (Zetia). What administration guideline is most important to teach this patient?
A) The two medications should be taken together. B) The ezetimibe inhibits cholesterol in the liver. C) The cholestyramine (Questran) is administered 1 hour after ezetimibe. D) The administration of ezetimibe (Zetia) is 2 hours before cholestyramine.
The nurse is doing vision screenings on 3-year-olds using the Allen test. A child would be referred to an ophthalmologist if both eyes score less than 15/30 or scores for the right and left eye differ by how many feet?
a. 2 feet c. 4 feet b. 3 feet d. 5 feet
A home care nurse is caring for an older patient from a different culture who is bed-bound and high risk for development of a pressure ulcer
The nurse discusses the plan of care with the patient's daughter, emphasizing the importance of turning every 2 hours and posts a turning clock on the wall. When the nurse returns later in the week, the turning clock has been removed, and the patient's daughter reports that she turns her mother occasionally. She states, "I am taking very good care of my mother. You just don't un-derstand; our ways do not involve doing things on schedules." The best response by the nurse is: a. "You must follow my guidelines and turn her every 2 hours, or I will not be able to take care of her." b. "I understand that you value your culture, but culture cannot stop you from provid-ing good care to your mother." c. "I understand that you care very much for your mother. Perhaps caring for her is too much for you." d. "How can we best work together to pro-vide the best care for your mother?"
Which statement made by a patient with Alzheimer's disease indicates the need for additional teaching?
a. "When I have been taking donepezil for 6 weeks I should regain my memories." b. "The only way to be sure that I have Alzheimer's disease is by autopsy after I die." c. "Even with medication, eventually I will need total care to prevent complications." d. "The rivastigmine I am taking may slow down the progression of my symptoms."