Which nursing diagnosis is most appropriate when considering the impact of a hearing deficit when planning care for a child who has been diagnosed with a hearing impairment?
a. Risk for injury, related to hearing impair-ment
b. Risk for social isolation, related to hearing impairment
c. Knowledge deficit, related to hearing im-pairment
d. Anxiety, related to hearing impairment
B
The loss of hearing and the mild stigma associated with hearing impairment place the newly di-agnosed child at risk for social isolation.
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What nursing action will the nurse implement after feeding an infant with hydrocephalus?
a. Position the infant sitting upright in an infant seat. b. Place the infant over the shoulder to burp. c. Leave the infant in a side-lying position. d. Stimulate the infant by rubbing its feet.
The nurse understands which of the following indicator(s) describe(s) the profile of an abused older adult? (Select all that apply.)
a. Resides in safe housing. b. Is from a lower socioeducational level. c. Is a woman who lives with an abuser and is socially isolated. d. Has nonwhite ethnicity.
Order: Aminophylline 0.4 mg/kg/hr Patient's weight: 220 lb The client is receiving a dosage of _______________
a. 0.067 mg/hr b. 40 mg/hr c. 4 mg/hr d. 240 mg/hr
At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 beats/minute, and the infant is crying vigorously with the limbs flexed. The infant's trunk is pink, but the hands and feet are blue
The Apgar score for this infant is: a. 7. b. 8. c. 9. d. 10.