A postpartum client calls the nursery to report that her newborn's umbilical cord stump is draining and has a foul odor. The nurse's best response is:
1. "Take your newborn to the pediatrician."
2. "Cover the cord stump with gauze."
3. "Apply Betadine around the cord stump."
4. "This is normal during healing."
1
Rationale:
1. Signs and symptoms of infection around the umbilical stump include foul smell, redness, drainage, localized heat and tenderness, or bleeding. These signs and symptoms should be reported to the physician.
2. It is not recommended to cover the cord stump with gauze or the diaper.
3. Betadine is not used on the cord stump.
4. Foul smell, redness, drainage, localized heat and tenderness, or bleeding are signs and symptoms of infection, and should be reported to the physician.
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Tim is a new patient to your mental health unit. He gets your attention, and when the two of you are alone he informs you that he "has the secret to eternal youth."
He offers to tell you, but he is unable to because "they're out there hiding so they can steal it from me. I must be very careful." Your best therapeutic response to Tim is: A. "Tim, I don't see anyone but you and me. It's time for dinner now. I'll walk with you to the dining room." B. "Tim, nobody can have eternal youth. That's not realistic, so don't talk about that anymore." C. "I'd love to hear about it, Tim. Let's go to the other room so no one else can hear. D. "I'll make sure 'they' are all gone, then you can tell me."
A client who has returned from surgery after an amputation of the lower leg complains of significant pain in the absent foot. The nurse should:
1. tell the client the foot is gone. 2. administer pain medication. 3. request a psychiatric consult. 4. notify the physician.
Which hormone has an action opposite to the action of insulin?
a. Glycogen b. Glucagon c. Hemoglobin A1c d. Adenosine triphosphate
A client with depression has not been attending group therapy sessions but has been able to meet with visitors, eat meals, and watch television. He states, "I have a brain illness—a chemical imbalance. I have no control over my behavior
I'll just have to wait until the medications kick in." Which is the appropriate nursing response to this client's comments? A) "In addition to biological factors, a complex interplay of environmental and interpersonal events contributes to the onset and maintenance of depression." B) "Given this is the 'decade of the brain,' you are correct in saying that biological factors cause depression." C) "Biological factors have been shown to exert the most influence in the development of mental illness." D) "Researchers have been unable to adequately demonstrate the link between nature (biology and genetics) and nurture (environment)."