A new mother is changing the diaper of her 20-hour-old newborn and asks why the stool is almost black. Which response by the nurse would be most appropriate?
A) "You probably took iron during your pregnancy."
B) "This is meconium stool, normal for a newborn."
C) "I'll take a sample and check it for possible bleeding."
D) "This is unusual and I need to report this."
B
Response:
Meconium is greenish-black and tarry and usually passed within 12 to 24 hours of birth. This is a normal finding. Iron can cause stool to turn black, but this would not be the case here. The stool is a normal occurrence and does not need to be checked for blood or reported.
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The nurse who observes standard precautions when disposing of linens contaminated with feces will:
a. don gown, gloves, and mask. b. wash hands for 5 minutes after disposal. c. don gloves only. d. double-bag the sheets.
A nurse is administering analgesia to a 77-year-old female patient who has been diagnosed with herpes zoster (shingles). Which of the following statements about the patient's diagnosis is most accurate?
A) The disease was most likely contracted sexually, earlier in life. B) Antibiotics, coupled with pain control, will be the most likely course of treatment. C) Age-related changes to the immune system likely made the woman particularly susceptible. D) The infectious process exists in the brain even though symptoms are most often felt peripherally.
A client, with a recent closed head injury, began experiencing partial (focal) seizures and asks the nurse to explain why this is happening. Which is the best response from the nurse?
A) "It is not uncommon for seizure activity to occur after head trauma." B) "Only a portion of your brain has been irritated." C) "Generalized seizures are much worse and involve the entire brain." D) "Electrical impulses become confused and chaotic resulting in a seizure."
A parent has called the school nursing office to inquire about which vaccinations are recommended by the school for her preteen daughter. The nurse responds with
A. Influenza B. Pneumococcal and dTAP C. Meningococcal, Varicella, and influenza D. Meningococcal, dTAP, and HPV