The homecare nurse is examining a newborn who is sleeping on a pillow in a basket, covered with a fluffy blanket. There is also a stuffed animal in the basket. The most important nursing action is to do which of the following?
1. Remove the stuffed animal from the basket and place it on the floor.
2. Teach the parents the risk of SIDS from soft items in the infant's bed.
3. Make certain that the blanket is firmly tucked under the baby.
4. Ask whether the color of the blanket has cultural significance.
2
Explanation: 2. Teaching the parents about the risk of sudden infant death syndrome (SIDS) is the highest priority.
You might also like to view...
A client has had a series of diagnostic tests, although he protests that nothing is wrong with him
except a chest cold that he "can't shake off." The diagnostic tests reveal a mass in the left upper lobe of the client's lung. He is scheduled to undergo a biopsy. When the nurse explains the procedure to him, he seems to have difficulty grasping what she is saying and asks questions such as "What do you mean I'm going to have surgery? What are they going to do?" His voice is tremulous. His respirations are noticeably rapid at 28 breaths/min, and his pulse is 110 beats/min. The nurse should assess the client's level of anxiety as a. mild. b. moderate. c. severe. d. panic.
When assessing a toddler for characteristics of autism, the nurse will question the parents about all of the following except the child's:
A) Social interactions. B) Ability to name objects. C) Manic or depressed episodes. D) Habits and rituals.
The use of nortriptyline requires careful monitoring of blood levels because:
a. levels above 2 are toxic b. antidepressant effects are not seen below 50 ng/ml or above 150 ng/mL c. levels of this drug in the blood rise and fall dramatically and erratically d. the level of this drug in the blood must never be above 100 ng/mL
The nurse explains to a student nurse that the median lethal dose of drugs is often determined in laboratory preclinical trials. Which rationales best support why this is done?
1. It would be unethical to determine these values in human subjects. 2. The safety of the medication must be determined prior to clinical trials. 3. It is difficult to obtain sufficient participants for clinical trials. 4. Clinical trials determine only the effective dose of a drug. 5. It is too costly to conduct the studies during clinical trials.