A first-time father is changing the diaper of his 1-day-old daughter. He asks the nurse, "What is this black, sticky stuff in her diaper?" The nurse's best response is:
a. "That's meconium, which is your baby's first stool. It's normal."
b. "That's transitional stool."
c. "That means your baby is bleeding internally."
d. "Oh, don't worry about that. It's okay."
A
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A This is an accurate statement and the most appropriate response.
B Transitional stool is greenish brown to yellowish brown and usually appears by the third day after initiation of feeding.
C This statement is not accurate.
D This statement is not appropriate. It is belittling to the father and does not educate him about the normal stool patterns of his daughter.
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The nurse is planning care for a client who receives total parenteral nutrition. What will the best plan by the nurse include?
1. Check the feeding tube for residual prior to initiating feedings. 2. Remove the solution from the refrigerator 30 minutes prior to hanging. 3. Withhold oral medications while the total parenteral nutrition (TPN) is hanging. 4. Maintain a dedicated percutaneous endoscopic gastrostomy (PEG) tube for the solution.
When communicating with patients, which of the following is NOT correct?
A) using a high-pitched tone of voice B) using body language that communicates energy, confidence, and a willingness to help C) using language the patient can understand D) making eye contact and using positive facial expressions
After the nurse has instructed a client with low-back pain about the use of a transcutaneous electrical nerve stimulation (TENS) unit for pain management, the nurse determines that the client has a need for further instruction when the client states
A) "One advantage of the TENS unit is it increases blood flow." B) "I could use the TENS unit if I feel pain somewhere else on my body." C) "I may need fewer pain medications with the TENS unit in place." D) "Wearing the TENS unit should not interfere with my daily activities."
Health care personnel who may be exposed to blood and body fluids should be immunized against hepatitis B. This is an example of :
a. physical prevention c. secondary prevention b. primary prevention d. tertiary prevention