While caring for an infant who is breast-fed, the nurse assesses the characteristics of the stools. What stool characteristics are expected in breast-fed infants?
A) Golden yellow and loose
B) Dark brown and firm
C) Yellow-brown and pasty
D) Green and mucusy
Ans: A
Breast-fed infants have more frequent stools, and the stools are yellow to golden, loose, and usually have little odor. With formula or cow's milk feedings, infants' stools vary from yellow to brown and are pasty in consistency.
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A client has delusions and hallucinations. Before beginning treatment with psychotropic drugs, the
physician wishes to rule out the presence of a brain tumor. For which test will the nurse need to prepare the client? a. CT or MRI scan b. PET or SPECT scan c. Cerebral arteriogram d. Neuronal depolarization
Which client data are the least objective?
1. Cool and dusky skin 2. Low flow rate oxygen 3. 30 breaths per minute 4. Very restless and drowsy
The nurse is asked by the spouse of a patient with a head injury why a CT scan is being done rather than an MRI. The best response from the nurse would be
1. CT scans are easier for patients with head injuries because movement is allowed. 2. MRIs are more costly so the least expensive test is always done first. 3. CT scans are the test of choice because they are noninvasive, produce rapid results, and can identify hematomas and edema that accompany some head injuries. 4. MRIs cannot detect pathologic processes earlier than the CT scan.
The client and nurse have set a goal that the client will demonstrate proper technique for self-administration of epoetin alfa (Epogen) before the client is discharged from the hospital
Which client actions would the nurse evaluate as indicating this goal is met? Standard Text: Select all that apply. 1. The client shakes the vial prior to drawing up the medication. 2. The client warms the vial by holding it for a few minutes before drawing up the medication. 3. The client draws the appropriate amount of medication into the syringe. 4. The client saves the remaining medication in the vial for the next dose. 5. The client verbalizes a plan to keep the medication vials in a cabinet out of the reach of children.