The nurse suggests that the mother of an infant with failure to thrive (FTT) see a lactation specialist to assist with breastfeeding. Which is an appropriate goal when planning care for this family?
A) Increase the number of well-child checkups for the child.
B) Convince the mother to use formula instead of continuing with breastfeeding.
C) Improve the parent-child relationship.
D) Prevent complications associated with poor nutrition.
Answer: D
The goal is to prevent complications associated with poor nutrition. There is no evidence that the mother is not relating well to the child. Increasing the amount of checkups will not improve nutrition. If the mother wishes to continue breastfeeding and help can be obtained, it may be harmful to her self-esteem to insist she bottle feed the infant, although supplementation with formula is an option.
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A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable. After assessing the client's behavior, which statement by the nurse would be the most appropriate?
a. "The urine incontinence should not prevent you from socializing." b. "You seem depressed and should seek more pleasant things to do." c. "It is common for men at your age to have changes in mood." d. "Nocturia could cause interruption of your sleep and cause changes in mood."
A nurse is caring for a 45-year-old patient with acute respiratory distress syndrome (ARDS). The nurse is aware that this disease is characterized by what?
A) Accumulation of copious amounts of very thick secretions in the lungs B) Loss of elastic tissue of the lungs and destruction of alveolar walls C) Progressive loss of lung compliance and increasing hypoxia D) Reversible bronchospasm, inflammation, and hyperactive airways
A nurse hears a 5-year-old patient who just started kindergarten use rude vocabulary. What is the best response to this behavior?
a. Ignore it. b. Speak to his teacher about it. c. Praise him when he speaks properly. d. Talk about it at the parent–teachers asso-ciation.
The next day, you are the nurse assigned to M.Z.'s care. You notice that the NAP emptying the gravity drain
is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor. What issues need to be considered in protecting M.Z.'s safety? Describe your actions in working with the nursing assistant.