Which preventative strategies should the nurse include in a teaching session for a mother whose infant is at risk for febrile seizures? Select all that apply
1. Increasing oral intake of fluids
2. Administering dose-appropriate aspirin
3. Providing a sponge bath with cold water
4. Decreasing oral fluid intake
5. Patting the child dry after a tepid bath
1, 5
Explanation:
1. Fluid intake will help heat loss.
2. Aspirin should be avoided due to the risk for Reye syndrome.
3. Cold water may cause shivering, which will increase the body temperature.
4. Decreasing fluid intake would increase the retention of heat.
5. A tepid bath will bring down the temperature; patting, instead of rubbing, will help keep the child's temperature down.
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As the head of the fetus approaches delivery and the phrase "station plus one" is used, in which position is the head in relation to the ischial spines?
a. 1 centimeter above c. 1 fingerbreadth above b. 1 centimeter below d. 1 fingerbreadth below
The nurse is assigned to a patient in home care who is an 89 year old African American woman widowed and living alone. Before even making the first visit, which of the following might the nurse expect, based on her knowledge?
a. the patient will be cared for by relatives in a middle class neighborhood b. the patient may have fewer financial resources and have a number of health problems c. the patient is likely to be healthy and financially secure d. the patient is most likely able to pay for all her medications without difficulty
A nurse is trying to avoid personal time distraction. Which type of distraction will be avoided if the nurse uses the strategies of providing encouragement and making conscious decisions?
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The nurse assesses four newborns. Which of the following assessment findings would place a newborn at risk for developing physiologic jaundice?
1. Cephalhematoma 2. Mongolian spots 3. Telangiectatic nevi 4. Molding