The nurse is teaching the parents of a newborn prior to a heel stick. The nurse is describing the procedure and recommending various ways the parents can comfort their baby
Which of the following statements by the parents indicates a need for further teaching? A) "It's better if we are not in the room for this."
B) "We can use kangaroo care before and after."
C) "We hope you are using a very tiny needle."
D) "We can offer him nonnutritive sucking to calm him."
A
Response:
Unless contraindicated, the parents should be encouraged to be present before, during, and after the procedure to provide comforting support to the child. Kangaroo care, small-gauge needles, and nonnutritive sucking are other methods to provide atraumatic care.
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The nurse develops a plan of care for a 75-year-old male patient who has had a myocardial infarction (MI). Which of following characteristics of the man's history and present conditions predispose him to constipation? (Select all that apply.)
A) The man has a history of GERD. B) The man takes a beta-blocker for the treatment of hypertension. C) The man's activity level is significantly reduced as a result of his MI. D) The man has received several doses of morphine since admission. E) The man's fluid intake has been minimal since admission.
Which of the following healthy individuals is most at risk for aspiration?
A) A 3-year-old B) A 22-year-old C) A 55-year-old D) A 78-year-old
A patient with type 2 diabetes mellitus has a blood glucose level of 650 mg/dL and is lethargic
After being diagnosed with hyperglycemic hyperosmolar syndrome, the nurse realizes the patient is at risk for developing which of the following? 1. metabolic acidosis 2. mental status changes and seizures 3. fluid volume overload and respiratory compromise 4. hyperkalemia
The nurse is providing prenatal care to a young couple that is pregnant with their first child. In what period of development would the nurse explain to the couple that most congenital defects would occur?
A) The period of the zygote B) The period of the embryo C) The period of the fetus D) All periods are equally vulnerable