A telephone triage nurse gets a call from a postpartum client who is concerned about jaundice. The client's newborn is 37 hours old. What data should the nurse gather first?
1. Stool characteristics
2. Fluid intake
3. Skin color
4. Bilirubin level
3
Rationale:
1. The stool characteristic of green coloration indicates excretion of bilirubin.
2. Inadequate fluid intake can predispose an infant toward becoming jaundiced, and is best determined by the number of wet diapers per day.
3. Yellow coloration of the skin and sclera is a sign of physiologic jaundice that appears after the first 24 hours postnatally. Inspection of the skin would be the first step in assessing for jaundice.
4. Skin color begins to appear yellow once the serum levels of bilirubin are about 4–6 mg/dL.
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A nurse assigned to the well-child clinic in a low-cost housing development realizes that a number
of mothers have misconceptions about the most effective ways of disciplining their children. The nurse decides that forming a group to resolve this problem would be an effective strategy. The focus of the group should be a. support. b. socialization. c. education. d. feelings.
A client finds it impossible to use artificial sweeteners because they are far too sweet and don't taste natural. What advice can the nurse give the client?
a. "That is the nature of artificial sweeteners and you will get used to it." b. "You may use natural sugar unless there is a medical reason to do otherwise." c. "Try experimenting with different amounts of the sweeteners to see what works best for you." d. "The chemicals contribute to the unnatural taste; try a different formulation to see if the taste improves."
The student nurse is working with a client in the mental health unit. The student is repeating back to the client the words the client has said. The student is using an:
A) Ineffective therapeutic technique called reflection. B) Effective therapeutic technique called reflecting. C) Ineffective therapeutic technique called parroting. D) Effective therapeutic technique called mirroring.
What study design involves no intervention on the part of the researcher? (Choose all that apply.)
a. Correlational b. Descriptive c. Experimental d. Quasi-experimental