A 8 hour old neonate is irritable and tremulous. These findings are consistent with withdrawal from in utero exposure to:
a. cocaine
b. heroin
c. methadone
Answer: b. heroin
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The student nurse is preparing to insert the otoscope into the adult client's ear. Which of the following statements indicates that the student nurse requires further education?
1. "I'm going to use the largest speculum that will fit easily into the ear canal.". 2. "I'm going to prepare to insert the otoscope by pulling the pinna down and back.". 3. "The tympanic membrane should look gray and translucent.". 4. "I will ask the client to perform the valsalva maneuver so that I can see how well the tympanic membrane moves.".
The patient who has urinary incontinence is at risk for urinary tract infection and urinary calculi. The nurse should teach the patient and family that the best way to prevent these complications is to:
1. restrict the patient's fluid intake and frequency of incontinence. 2. be sure the patient's voiding schedule is no more often than every 4 hours. 3. use an indwelling catheter. 4. encourage the patient to void at least every 2 hours and to take at least 2000 mL of fluid daily.
The nurse is instructing a group of preadolescent males on the influence of testosterone on normal growth and development. What will the nurse include in this teaching?
Standard Text: Select all that apply. 1. Testosterone causes the testes, scrotum, and penis to enlarge. 2. Testosterone causes pubic and axillary hair to grow. 3. Testosterone causes the cartilage of the larynx to grow. 4. Testosterone causes an increase in acne. 5. Testosterone levels fluctuate every 28 days.
A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on the knowledge that paroxetine is a(n):
a. selective norepinephrine reuptake inhibitor. b. tricyclic antidepressant. c. MAO inhibitor. d. SSRI.