The infant of a woman who has diabetes mellitus is admitted to the newborn nursery. It is especially important for the nurse to assess for:
a. Anemia
b. Respiratory distress
c. Hyperglycemia
d. Adrenal insufficiency
ANS: B
The infant of a woman with diabetes has an increased risk for respiratory distress syndrome (RDS) because high levels of insulin appear to interfere with the production of lung surfactant. Other possible complications include polycythemia, hypoglycemia, and birth trauma (as a result of macrosomia).
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A nurse is preparing a discharge note for an elderly client with constipation. Which of the following suggestions should the nurse write in the client's discharge note to facilitate healthy bowel elimination habits?
A) Drink 8 to 10 glasses of liquid daily. B) Limit physical activity in the early morning. C) Use laxatives and enemas regularly. D) Eat several small meals each day rather than three large meals.
The nurse is reviewing the signs of labor with a patient entering the last phase of the third trimester of pregnancy. What should the nurse include as an indication that the labor is beginning?
A) Excessive fatigue and headache B) Sharp, right-sided abdominal pain C) Sudden gush of clear fluid from the vagina D) An increased pulse rate and upper abdominal pain
Malloch and Porter-O'Grady point out that organizations "work from the inside out" and not from top to bottom
It is significant for staff nurses to participate fully in the decision-making processes of their health-care organizations and they can best do this by: A. Shadowing their physician colleagues B. Compromising with other health-care workers so that nursing gets its share of resources C. Empowering themselves and other nurses to negotiate for their patients D. Ignoring the administrators of the organi-zation
A nurse correctly recognizes that administration of medication via the rectal route is appropriate for
1. A small child who does not like the taste of orally administered medication. 2. A patient being treated for a heart attack. 3. A patient who is recovering from prostate cancer surgery. 4. A patient with severe hemorrhoids.