The nurse is caring for a new breastfeeding mother who is from Pakistan. The nurse plans her care so that the newborn is offered the breast on which of the following?
1. Day of birth
2. First day after birth
3. Second day after birth
4. Third to fourth day after birth
4
Explanation: 4. Among some traditional cultures around the world, it is believed that colostrum is "unclean" or even harmful to a newborn. Because of this ancient belief, mothers living the Middle East and parts of Asia even today discard their colostrum or wait 2 to 4 days to begin breastfeeding, when their "true milk" arrives. This mother would begin breastfeeding the third or fourth day after the birth.
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The recommendation for an infant's sleeping position is now "back to sleep." Which nursing intervention is needed to prevent flattening of the occipital bones?
1. Place an infant hat on the head of the infant during sleep for the first three months of life. 2. Allow the infant to sleep on his abdomen while an adult is present and observing the infant during sleep. 3. Alternate the head position from left to right during sleep. 4. Wrap the occipital portion of the infant's head with an ace bandage for 20 minutes each day.
The nurse would explain to a client that when a major burn occurs, the body's initial systemic responses include
a. elevated pulse rate, decreased cardiac output, and polyuria. b. increased capillary permeability, decreased cardiac output, and oliguria. c. plasma leakage into surrounding tissue, decreased hematocrit, and oliguria. d. production of epinephrine, vasodilation, and increased cardiac output.
When should the nursing assistant first ask the patient about his or her known allergies?
A) During admission B) During transfer C) During discharge D) During the patient's stay
J.P., a 56-year-old man, developed a severe viral infection with fatigue, fever, and myalgia. Although he
recovered from the acute episode, J.P. never quite regained his normal activity level. Six months later, J.P. continued to find it difficult to work a 10-hour day as a brick mason, so he returned to his physician. Diagnostic studies revealed heart failure related to postviral cardiomyopathy. After medical management with metoprolol (Toprol XL) and furosemide (Lasix), his condition stabilized and he returned to work. After several months, J.P.'s condition began to deteriorate and his work attendance became erratic. Sixteen months later he is being admitted complaining of dyspnea with minimal exertion, fatigue, orthopnea, chest pain, anorexia, and feelings of abdominal fullness. He has 2+ peripheral edema and is diaphoretic. Further studies reveal that J.P. has cardiac dilation, moderate to gross ventricular hypertrophy, and a systolic ejection fraction of 17%, consistent with severe congestive cardiomyopathy. Because J.P.'s only other health problem is mild hypertension, a heart transplant evaluation is recommended. J.P. and his wife discuss his prognosis, and he agrees to an evaluation for possible heart transplantation. If J.P. is accepted for cardiac transplantation, what data will be collected in addition to his past medical history, current diagnostic findings, and cardiac evaluation?