A newborn was born to an HIV-positive mother two days ago. The infant will be placed in foster care. The nurse is planning discharge teaching for the foster parents about how to care for the newborn at home
Which of the following instructions should the nurse include? A. Provide three feedings per day.
B. Place soiled diapers in a sealed plastic bag.
C. Rectal temperatures are preferred.
D. Put the infant in sunlight through a window.
B
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A nurse has administered dinoprostone gel (Prepidil) to a nulliparous woman whose Bishop score is 5. Fifteen minutes later the patient complains of intense itching, vaginal burning, and shortness of breath. What medication does the nurse anticipate giving
A. Epinephrine (Adrenalin) B. Hydromorphone (Dilaudid) C. Misoprostol (Cytotec) D. Terbutaline (no brand name)
For the client with cirrhosis, what nursing intervention(s) would be most appropriate to control fluid accumulation in the abdominal cavity?
A. Monitoring intake and output B. Providing a low-sodium diet C. Increasing PO fluid intake D. Weighing the client daily
A nurse has a prescription to get the client out of bed and into a chair on the first postoperative day after total knee replacement. Which action should the nurse take to protect the knee?
A. Assisting the client into the chair, using a walker to minimize weight bearing on the affected leg B. Securely covering the surgical dressing with an elastic wrap and applying ice to the knee while the client is sitting C. Lifting the client to the bedside chair, leaving the continuous passive motion (CPM) machine in place. D. Applying a knee immobilizer before getting the client up, then elevating the affected leg while the client is sitting
The patient is placed on mechanical ventilation. After the initial settings have been applied, the nurse should watch for which of the following complications? (Select all that apply.)
a. Signs of decreased cardiac output b. Tension pneumothorax c. Pneumonia d. Failure to wean