A baby in the nursery is 18 hours old. Which piece of information would be most essential to pass on to the next shift?
a. Infant has milky discharge from the nipples.
b. Infant has not voided.
c. Infant has polydactyly on each hand.
d. Testes are descended on only one side.
B
The nurse should report the fact that the neonate has not voided. The neonate should void by 12 hours after birth. While it is appropriate to pass on information regarding the milky discharge from nipples, polydactyly on each hand, and undescended testes; this information is not the most essential to note.
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In addition to assessing for signs and symptoms of hematopoietic and lymphatic systems, which of the following details should the nurse ask about further?
A) A client who does not eat at night B) A female client, age 50, yet childless C) A client undergoing cancer treatment D) A female client who has melanin-related skin problem
The patient takes nitroglycerine (Nitrostat) for relief of occasional stable angina. The nurse would be most concerned about which statement made by the patient?
1. "I'm getting married tomorrow; I hope my erectile dysfunction isn't a problem." 2. "I'm going water skiing tomorrow; I hope my angina isn't a problem." 3. "I really don't like those little pills. I've heard about patches: can I try them?" 4. "My angina has been a little more frequent. Do I need a painkiller too?"
Patients not requiring continuous intravenous infusions may have a(n)
A. primary line. B. piggyback. C. intermittent peripheral infusion device. D. secondary line.
Documentation on the medical record must be concise, accurate, clean, and legible.
Answer the following statement true (T) or false (F)