The nurse working in the delivery room assesses a newborn infant delivered vaginally. The infant has a strong cry, is moving all extremities vigorously, and its color is pink. Which action by the nurse is the priority?
1. Stimulate the infant.
2. Encourage infant-maternal bonding.
3. Dry the infant.
4. Administer oxygen.
Correct Answer: 3
The nurse's priority action is to dry the infant, because heat can be lost through condensation if the infant's skin is wet. The infant is vigorous, and so does not require stimulation; color is pink, and so oxygen is not needed; and bonding should be fostered as soon as the infant is dried.
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A patient has been taking the monoamine
oxidase inhibitor (MAOI) phenelzine (Nardil) for 6 months. The patient wants to go to a party and asks the nurse, "Will just one beer be a problem?" Which advice from the nurse is correct? a. "You can drink beer as long as you have a designated driver." b. "Now that you've had the last dose of that medication, there will be no further dietary restrictions." c. "If you begin to experience a throbbing headache, rapid pulse, or nausea, you'll need to stop drinking." d. "You need to avoid all foods that contain tyramine, including beer, while taking this medication."
Prevention programs for adolescents should focus on what two ethical principles?
a. beneficence and nonmaleficence b. human rights and neoethics c. principlism and women's rights d. bioethics and maternalism
The patient is scheduled for surgery late in the afternoon. His postoperative orders include PCA therapy. Which of the following nursing interventions is appropriate to perform?
a. Teach the patient about PCA after the patient comes out of recovery. b. Teach the patient about PCA before surgery and before preoperative medication administration. c. Tell the patient not to use PCA unless he can no longer tolerate the pain. d. Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it.
The daughter of an older female patient with osteoporosis asks what she can do to prevent the development of the disorder as she ages. What should the nurse suggest to the daughter?
a. Keep body weight low. b. Increase oral intake of calcium. c. Engage in water aerobic activities. d. Engage in weight-bearing exercises.