The nurse's major goal for a client who is at risk for injury is to:
A)
Make all choices for the client.
B)
Remain free from injury.
C)
Keep the client dependent on the staff for all care.
D)
Assess the client's mental status.
B
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A woman is considering abandoning breastfeeding attempts because of severe afterpains. What actions by the nurse are most helpful? (Select all that apply.)
A. Administer pain medication 30 minutes prior to breastfeeding. B. Encourage ambulation. C. Have the woman lie prone with a pillow under her stomach. D. Offer the woman information on commercial baby formula. E. Prepare a sitz bath for the woman after she has breastfed.
A patient with a history of progressively worsening fatigue is undergoing a comprehensive assessment which includes test of renal function relating to erythropoiesis
When assessing the oxygen transport ability of the blood, the nurse should prioritize the review of what blood value? A) Hematocrit B) Hemoglobin C) Erythrocyte sedimentation rate (ESR) D) Serum creatinine
The parent of a 2-month-old infant who just received the first dose of DTaP asks the nurse whether he should expect any reaction to the vaccine. Education from the nurse should include the response that
a. most children do not experience any reaction. b. seizures are common and require anticonvulsant medication. c. the most common reaction is a rash that develops into itchy vesicles. d. mild reactions are common, most frequently a low-grade fever.
The nurse is caring for a preterm infant in the neonatal intensive care unit who has multiple stomas. Given the uniqueness of infants, which action is essential for the nurse to take?
a. Apply an ostomy pouch using standard sealants. b. Use a pouch that can accommodate increased amounts of flatus. c. Use multiple pouches (one for each stoma). d. Be aware that the stoma size will remain the same as the baby grows.