When dealing with a patient who has impaired hearing, where would the nurse sit to facilitate lip reading?
A) Halfway across the room from the patient
B) Next to patient on the side from which he or she hears best
C) Closer to the patient than the nurse normally would
D) Knee to knee directly in front of the patient
C
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The condition of a low-birth-weight infant suddenly deteriorates with a subsequent decrease in oxygen saturation and hypotension. The anterior fontanel of the infant is bulging. The nurse is alerted to which complication?
a. Patent ductus arteriosus (PDA) b. Intraventricular hemorrhage (IVH) c. Bronchopulmonary dysplasia (BPD) d. Periventricular leukomalacia (PVL)
A woman tells the nurse at a prenatal interview that she has quit smoking, only has a glass of wine with dinner, and has cut down on coffee to four cups a day. What response by the nurse will be most helpful in promoting a lifestyle change?
a. "You have made some good progress toward having a healthy baby. Let's talk about the changes you have made." b. "You need to do a lot better than that. You are still hurting your baby." c. "Here are some pamphlets for you to study. They will help you find more ways to improve." d. "Those few things won't cause any trouble. Good for you."
Exogenous erythropoietin in the form of epoetin alfa (Epogen) is administered to a chronic dialysis client. How can the nurse best describe the action of this drug to the client?
1. "Epogen will change the shape of your red blood cells to increase their flexibility." 2. "Epogen changes the molecular structure of your hemoglobin, making it carry more oxygen." 3. "Epogen helps to increase the concentration of the oxygen carrier in your blood." 4. "Epogen makes your red blood cells bigger around."
The patient is encouraged to decrease fluid intake in the late evening to prevent interruption of sleep from:
a. increased digestive processes in the bowel. b. episodes of nocturia. c. gastroesophageal reflux. d. changes in body temperature.