The nurse is performing a physical examination on a 2-day-old infant and notes flattened areas on each side of the head. The mother expresses concern about the infant's appearance
Which of the following responses would be appropriate for the nurse? 1. "The baby will likely need a neurologic evaluation.".
2. "The baby will need plastic surgery.".
3. "This is normal and will resolve in a few days.".
4. "What shape is your husband's head?"
3
Rationale 1: The infant will not require a neurologic evaluation because this is a normal finding.
Rationale 2: The infant's head will take on a more normal round shape in several days so plastic surgery is not required.
Rationale 3: Infants born by vaginal delivery experience molding, which is shaping of the head as it passes through the vaginal canal. This will resolve in several days.
Rationale 4: The shape of the infant's head is normal after birth and is unrelated to the shape of the father's head.
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When a nurse uses Maslow's hierarchy of needs to prioritize patient problems, which problem would be considered the highest priority?
a. The patient is unsteady and may become injured. b. The patient is experiencing marital difficulties. c. The patient has deficient knowledge about the condition. d. The patient is acutely short of breath.
A study was conducted to evaluate staff nurses' perceptions of a good nurse manager. The researcher identified the nurses involved and shared individual responses with the managers. This scenario best describes a violation of which principle?
1. Anonymity 2. Coercion 3. Confidentiality 4. Informed consent
The nurse is caring for a patient who is being screened for diverticulosis. Which patient statement indicates understanding of conditions that predispose to diverticulosis?
a. "Colon cancer." b. "Chronic diarrhea." c. "Chronic constipation." d. "Diet high in red meats."
A geriatric patient has had a CVA and has a feeding tube in place. Which statement is correct about the administration of ordered drugs through the feeding tube?
A) Dilute medications with normal saline at room temperature. B) Elevate the head of the bed to 30 degrees. C) Check the position of the tube in the stomach by inserting 60 mL of air. D) Flush the tube with 15 mL of warm water to ensure patency.