A postpartum client calls the clinic to report that her 3-day-old baby girl has a spot of blood on her diaper. The best explanation for the nurse to give is that this finding is due to:
1. Withdrawal of maternal hormones.
2. A urinary infection.
3. An immature immune system.
4. Physiologic jaundice.
1
Rationale:
1. As maternal hormones clear the newborn, it is not unusual to find blood on the diapers of a female newborn. This is referred to as pseudomenstruation.
2. A urinary infection or does not cause pseudomenstruation.
3. An immature immune system does not cause pseudomenstruation.
4. Physiologic jaundice causes yellow coloring of the skin, not blood in the diaper.
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A) Establish a routine for taking medications, such as preparing medication for each day in different containers. B) Schedule medications at mealtimes or in conjunction with other specific activities unless contraindicated. C) Develop a method for remembering if you have actually taken your medication, such as moving it to a different place. D) Use a pill box. E) Obtain all of your medications from the same pharmacy.
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A student nurse is out shopping when he or she hears that a mass casualty event (MCE) has occurred in the area. It is his or her responsibility as a student and as a nurse to
1. Know and follow his or her facility's disaster plan. 2. Immediately return to his or her place of work. 3. Go to the scene and begin treating the victims who are most likely to survive. 4. Call the Department of Health and Human Services for instructions.
The nurse who is demonstrating compliance with the American Nurses Association (ANA) standards of care would routinely do which of the following?
1. Apply research findings to client care. 2. Apply the nursing process to meet client's needs. 3. Perform peer evaluation to evaluate compliance with standards. 4. Participate in continuous quality improvement (CQI) activities to improve quality of care.