The nurse includes in the plan of care for a 5-month-old hydrocephalic baby an intervention to prevent hypostatic pneumonia, which would be:
a. Monitor oxygen per nasal cannula
b. Keep the baby hydrated by offering water between feedings
c. Change the baby's position every 2 hours
d. Position the baby in an upright position
C
Frequent position changes are helpful in preventing hypostatic pneumonia and pressure sores.
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A patient presents at the clinic complaining of shortness of breath, fatigue, and difficulty performing activities of daily living (ADLs). The nurse notes the bluish color around the patient's mouth and fingernail beds
What would the nurse expect the patient has? A) A dysrhythmia B) Hypotension C) Heart failure D) Hypertension
A client is experiencing an alteration of the adrenal cortex. What should the nurse expect to assess if excess cortisol is being produced in this client?
1. Bronze color over knuckles 2. Lethargy 3. Anorexia 4. Weight gain
A woman has an ultrasound that dates her pregnancy at seven weeks' gestation. The woman asks the baby's gender. Which nursing response is indicated?
1. "The genitalia do not develop until after week 10." 2. "We don't disclose that information until after the first trimester." 3. "We will have to wait until your next ultrasound at 12 weeks to be able to tell if your baby is a boy or a girl." 4. "We will call you with the information after the ultrasound has been read by the radiologist."
When providing care to a patient, the psychiatric–mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
A) Hildegarde Peplau B) Florence Nightingale C) Dorothea Dix D) Sigmund Freud