The mother of a 4-month-old baby asks the nurse about the right time to start solid food
for the baby. What should the nurse tell the mother?
A) When the baby starts drinking 50 ounces of milk
B) When the baby gets its first tooth
C) When the baby starts sitting without any support
D) When extrusion reflex appears in the baby
A
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What is the first thing the nurse should check when an elderly widower reports a sudden onset of erectile dysfunction?
A) His mental health history B) His heart rate and blood pressure C) What drugs he has started taking D) His attitudes toward sex outside marriage
Which of the following is considered subjective data in information gathering from the patient?
a. Pulse and blood pressure measurements b. ECG pattern c. Diaphoresis d. Pain
The nurse administers a narcotic analgesic to a patient who has been receiving it for 1 day after orthopedic surgery. The patient reports no change in pain 30 minutes after the medication is given. The nurse recognizes that this patient is exhibiting
a. drug-seeking behavior. b. drug tolerance. c. the placebo effect. d. tachyphylaxis.
A patient admits to having been battered by her live-in boyfriend several times over the past 2 years
She states to the nurse, "We plan to get married next June, and I think things will be bet-ter then. He is always so sorry afterward, that I think I can trust him to change." Which intervention should be included in the patient's teaching plan? a. Discourage her hope that the battering will end after they are married. b. Assist her in enrolling in a class to learn techniques of self-defense. c. Assist her in developing an emergency plan, because the pattern of violence is likely to continue. d. Emphasize that the battering pattern usually remains the same in frequency and severity over time.