The nurse is making an initial visit to a postpartum family's home. The mother states that she is having difficulty with breastfeeding. Which resource should the nurse tell the family about?
1. The lactation consultant at the hospital
2. Free immunizations through the county public health department clinics
3. Sources of free formula at a local food pantry
4. A support group for mothers who are experiencing postpartum depression
1
Rationale 1: When the patient specifies a problem with breastfeeding, the best resource the nurse should inform the family about is the lactation consultant.
Rationale 2: Free immunizations do not help with breastfeeding.
Rationale 3: Providing a mother with formula undermines her breastfeeding efforts and sends a message that she will not be successful with breastfeeding.
Rationale 4: There is no evidence that the patient is experiencing postpartum depression.
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A critically ill patient has developed acute renal failure and needs dialysis. Under what circumstance would the nurse question the use of continuous renal replacement therapy (CRRT)?
A) Patient requires large amounts of hourly intravenous fluids B) Metabolic imbalances can be corrected with 3 hours of dialysis per day C) High risk of hemodynamic instability with dialysis D) Unlikely to tolerate rapid fluid shifts without destabilizing
A patient with benign prostatic hypertrophy (BPH) has been prescribed prazosin (Minipress) and asks the nurse what this is going to do for him. The nurse's response will include what action to explain the purpose of taking this medication?
A) Decreasing vascular tone and vasodilation B) Reducing the size of the prostate to reduce pressure on the urethra C) Relaxing the bladder and prostate and improving urine flow D) Lowering blood pressure
A nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused. Which of the following actions must the nurse take?
a. Call the police immediately to take the child to a safe place b. Contact the parents and ask about it c. Contact the legal authorities as well as the school's principal d. Examine the child to see if the abuse really occurred
The rights of residents in long-term care facilities
A. were legislated by OBRA 1987. B. are identical to hospital patients' rights. C. are more restrictive than rights in other health care settings. D. do not include advance directives.