When relieving choking in an infant, which is correct?
a. Lay the infant down on the bed.
b. Hold the infant face down in the palm of your hand.
c. The infant's head is lower than the chest.
d. Five up to 3 forceful back slaps.
C
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In clients with any type of acid-base imbalance, the nurse places the priority on monitoring which electrolyte?
a. Sodium b. Calcium c. Potassium d. Magnesium
A nurse is completing a discharge plan for a 24-year-old woman who has been prescribed an antiepileptic drug. What is the priority for teaching the patient about this drug?
a. "If you stop taking the medication all of a sudden, an unpleasant, acute withdrawal syndrome is likely to occur." b. "You may stop taking this drug when you have had no seizures for 1 full year." c. "Let's talk about what kind of contraception you plan to use while you are taking this medication." d. "I know it's depressing to have to take a drug for the rest of your life, but you absolutely may not ever stop taking it."
A widow grieving her husband's sudden death tells the nurse, "I'm not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away." Which is the nurse's most appropriate action?
a. Assess for recent substance use. b. Suggest a referral to the mental health clinic. c. Arrange for an evaluation for antidepressant medication. d. Counsel the widow that visualizations are a normal part of grieving.
A mother of a 16-week-old infant is concerned because she cannot feel the posterior fontanelle on her infant. Which response by the nurse would be most appropriate?
1. "Your baby must be dehydrated." 2. "Bring your infant to the clinic immediately." 3. "This is due to overriding of the cranial bones during labor." 4. "It is normal for the posterior fontanelle to close by 8 to 12 weeks after birth."