The nurse is reviewing the health record of an infant with a diagnosis of congenital heart disease. The nurse notes documentation in the record that the infant has clubbing of the fingers. The nurse understands that this finding is caused by:

1. Chronic fatigue
2. Poor oxygenation
3. Poor sucking ability
4. Consistent sucking on the fingers


2

Rationale: The child with congenital heart disease may develop clubbing of the fingers. Clubbing of the fingers is thought to be caused by anoxia or poor oxygenation. "Chronic fatigue," "poor sucking ability," and "consistent sucking on the fingers" are unrelated to this occurrence.

Nursing

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An adult female client wishes to begin taking oral contraceptives. The medical history indicates that the client had a deep vein thrombosis three years ago

After reviewing the objectives set forth in Healthy People 2020, which response by the nurse is the most appropriate? 1. "We can have the healthcare provider write you a prescription today." 2. "You will also have to take blood thinners." 3. "I need to perform a Homan's test on you." 4. "Taking oral contraceptives increases your risk of developing clots."

Nursing

The nurse counsels the patient in the late stage of dependence that recovery may not be possible without:

a. gaining insight into the addiction. b. receiving treatment for substance abuse. c. pledging to lead a completely different lifestyle. d. seeking a nondrug-oriented support system.

Nursing

The nurse is collecting data on a newborn admitted to the nursery and finds the newborn was born at 42 weeks' gestation. What would be the highest priority intervention for this infant?

A) The nurse monitors the newborn's blood glucose levels B) The nurse wraps the newborn lightly in a single blanket C) The nurse wakes the newborn for feedings every four hours D) The nurse anticipates the newborn will need a blood transfusion

Nursing

If a nurse researcher wants to get information on the occurrence of an internationally impor-tant disease, where would be a good place to seek this information?

1. The United Nations website 2. The World Health Organization website 3. The World Bank website 4. The state health department

Nursing