A newborn is noted to have a yellowish cast to his skin and sclera. Laboratory testing shows him to have an elevated bilirubin level. What nursing intervention is appropriate for this patient?
A) Initiate early feeding
B) Withhold feeding until a physician gives an order for it to begin
C) Withhold feeding until bilirubin levels drop
D) Immediately start phototherapy
A
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Which statement is true of multifactorial disorders?
a. They may not be evident until later in life. b. They are usually present and detectable at birth. c. The disorders are characterized by multiple defects. d. Secondary defects are rarely associated with them.
The nurse is working with an adolescent client in the hospital. The adolescent requests that the parents bring some books about puns to the hospital
He frequently uses puns in conversation and is highly critical about the hospital rules, his parents, and many aspects of the world. The parents ask the nurse why their child is acting so differently in adolescence compared to when he was younger. The best answer by the nurse is a. "This is your child's way of dealing with the stress of hospitalization." b. "Your child has developed the ability to use abstract thinking." c. "Perhaps some psychological tests might help determine if this is normal." d. "Setting limits in regard to critical statements often helps stop this behavior."
The nurse provides care in an inner-city hospital with a large immigrant population. In order to provide the most culturally competent care, the nurse should:
1. Plan to attend educational programs to understand ethnic differences in health values. 2. Discuss with the supervisor the types of patients for whom the nurse feels prepared to provide care. 3. Approach the care of every patient in the same manner. 4. Realize that the best care is standardized care.
A nurse is assessing the play of a 4-year-old. Which of the following best describes what the nurse would observe in the play of this age preschooler?
a. playing alongside but not with playmates, taking toys away from others, using a pounding bench, and playing with a musical toy b. interactive play, obeying limits, creating an imaginary friend, and engaging in fantasy play c. engaging in group sports or games and playing with puppets d. playing by him- or herself in the corner, engaged in putting a puzzle together