The nurse helps a couple recognize the cues that their infant is ready to breastfeed. Which infant behavior is a sign of early readiness to feed?
a. Fussiness and crying c. Fencing posture
b. Smacking lips d. Stretching arms
B
Smacking lips is one of half a dozen feeding readiness cues. Fussiness and crying is a later sign of readiness. Fencing posture is not related to feeding. Stretching arms does not represent readiness to feed.
You might also like to view...
A patient who is prescribed propylthiouracil (Propacil) also takes warfarin (Coumadin). Which laboratory blood test result indicates a possible drug interaction?
a. Hematocrit 42% b. Hemoglobin 14.2 g/dL c. Blood urea nitrogen (BUN) 12 mg/dL d. International normalized ratio (INR) 5.0
The nurse is conducting an admission assessment of a client who has a history of generalized anxiety disorder. After gauging the client's level of anxiety, what other assessment should the nurse prioritize?
A) Determining the client's understanding of factors that contribute to his or her anxiety B) Determining whether there is potential for the client to harm himself or herself or others C) Obtaining a set of vital signs including apical heart rate and oxygen saturation D) Assessing the client's insight into his or her condition and gauging orientation and judgment
A patient with major depression has lost 20 pounds in one month has chronic low self-esteem and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention is most directly related to this outcome:
"Patient will refrain from gestures and attempts to harm self"? a. Implement suicide precautions. b. Frequently offer high-calorie snacks and fluids. c. Assist the patient to identify three personal strengths. d. Observe patient for therapeutic effects of antidepressant medication.
The nursing assistant makes valuable contributions to patient ____________________ and comfort.
Fill in the blank(s) with the appropriate word(s).