The nurse caring for the newborn should be aware that the sensory system least mature at the time of birth is:
a. Vision.
b. Hearing.
c. Smell.
d. Taste.
A
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A The visual system continues to develop for the first 6 months.
B As soon as the amniotic fluid drains from the ear (minutes), the infant's hearing is similar to that of an adult.
C Newborns have a highly developed sense of smell.
D The newborn can distinguish and react to various tastes.
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The nurse is caring for an older adult Native American client who is experiencing severe chest pain
The client is accompanied by a tribesman at the insistence of the client. The tribesman tells the nurse that their culture teaches acceptance of death as part of the natural cycle of life and that treatments must be stopped. The client's son insists that his father be treated, and states he feels the tribe's teachings are antiquated. Which action by the nurse is the most appropriate? 1. Call the social worker to plan a family meeting without the tribesman. 2. Interview the client and ascertain his wishes and beliefs. 3. Convene the hospital ethics committee. 4. Call the nursing supervisor.
When a safety reminder device (SRD) is used to protect a child, a responsibility of the nurse is to:
a. apply it loosely. b. remove it every 2 hours. c. place it over clothing. d. apply only one type.
The nurse hyperoxygenates and hyperventilates the client prior to suctioning which airway?
1. Oral cavity 2. Oropharyngeal 3. Nasopharyngeal 4. Endotracheal
A patient with mitral regurgitation is instructed to report to the health care provider if it becomes too difficult to perform activities of daily living. What is the nurse's rationale for providing this instruction?
1. Activity intolerance indicates acute respiratory distress. 2. The patient may have experienced a myocardial infarction. 3. These changes indicate that it is time to consider valve replacement. 4. Infective endocarditis is developing.