A newborn is born at 38 weeks’ gestation weighing 2250 grams. Which is the most appropriate nursing diagnosis?
1. Ineffective Airway Clearance
2. Risk for Altered Body Temperature
3. Acute Pain
4. Altered Nutrition: More Than Body Requirements
2. Risk for Altered Body Temperature
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In which of the following conditions is breastfeeding contraindicated?
a. Triplet birth b. Flat or inverted nipples c. Inactive, previously treated tuberculosis d. Human immunodeficiency virus
The Colorado Differentiated Practice Model for Nursing has four weighted components. Of the four to be evaluated which one carries the most weight?
a. competency statements c. institutional goals b. skills d. professional activities
A client is admitted with dysentery caused by Clostridium difficile, or pseudomembranous colitis. To elicit the most helpful information about the cause of the dysentery, the nurse would ask the client
a. "Are you taking any antibiotics?" b. "Do you ever go barefoot outside your home?" c. "Does anyone else in your family have bowel problems?" d. "Have you traveled in any foreign countries lately?"
Which finding by the nurse will be most helpful in determining whether a 67-year-old patient with benign prostatic hyperplasia has an upper urinary tract infection (UTI)?
a. Bladder distention b. Foul-smelling urine c. Suprapubic discomfort d. Costovertebral tenderness