A mother delivered her baby at midnight and it is now 9 AM. She wants to sleep and asks the nurse to take care of the baby. What is this considered?
a. Fatigue from labor
b. Normal "taking in" response
c. Abnormal "taking in" response
d. Risk for altered maternal-infant bonding
ANS: B
Her primary focus will be on her own needs such as sleep ("taking in" stage).
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A patient has been admitted to the hospital with burns to the upper chest. The nurse notes singed nasal hairs. The nurse needs to assess this patient frequently for which condition?
a. Decreased activity b. Bradycardia c. Respiratory complications d. Hypertension
A six-year-old has been diagnosed with both reactive attachment and disinhibited social engagement disorders after being found living in the streets. The nurse knows that the patient will exhibit which symptoms? Select all that apply
1. Wandering from caregivers 2. Engaging in repetitive behaviors 3. Unable to seek comfort when distressed 4. Preoccupation with physical appearance 5. Fearfulness despite the absence of stressors
A lawsuit has been filed claiming that a nurse's actions caused the death of a neonate. Why does the attorney for the plaintiff want to prove proximate cause?
1. Proximate cause determines how far the nurse's liability extends for consequences of the alleged negligent actions. 2. The need for expert witnesses is eliminated because harm can be approximated. 3. A direct line of causation, from incident to injury, is proved. 4. To identify if the harm could have been predicted to result from the action of the defendant
Which of the following drugs would be indicated for a schizophrenic who needs management of both positive and negative symptoms?
1. Thioridazine HCL (Mellaril) 2. Haloperidol (Haldol) 3. Clozapine (Clozaril) 4. Chlorpromazine (Thorazine)