The nurse is performing a postpartum home care visit. Which teaching has the highest priority?
1. Teach or review how to bathe the baby.
2. Teaching how to thoroughly child-proof the house
3. How many wet diapers the baby should have daily
4. Prevention of deformational plagiocephaly
3
Rationale:
1. Although knowing how to bathe a newborn is important, adequate hydration is a higher priority.
2. Child-proofing the home is not necessary until the baby begins to crawl. This is a low priority at this time.
3. Wet diapers are an indication of hydration of the newborn. This is the highest priority.
4. Preventing flat spots on the back or side of the head is primarily a cosmetic issue. Hydration is a higher priority.
You might also like to view...
Hyponatremia without edema or hypovolemia is a sign of water intoxication caused by which of the following?
A) Syndrome of inappropriate ADH secretion (SIADH) B) Diabetes insipidus (DI) C) Newly diagnosed type 1 diabetes D) Prerenal kidney failure
The nursing staff is admitting a client diagnosed with diabetic ketoacidosis (DKA)
The licensed practical nurse (LPN) asks the registered nurse (RN) if the pulse oximeter needs to be placed on the client. Which response by the RN to the LPN is the most appropriate? 1. "Please place the pulse oximeter on the client." 2. "I will let you know after I complete my assessment." 3. "Thanks, but that is something I have to do for the client." 4. "We don't have an order to do that."
The nurse is conducting a nutritional assessment for a patient who states, "I feel like I become blind at night. I am really scared to drive sometimes." Which nutrient will the nurse recommend to this patient based on this data?
1) Vitamin A 2) Vitamin C 3) Riboflavin 4) Niacin
Which are categories of classifying interventions according to the Omaha System Intervention Scheme? Select all that apply
a. Health education b. Case management c. Treatments and procedures d. Direct care services