When making a home visit to a new mother and her newborn, the community/public health nurse should particularly look for:
A. Adequate maternal and infant bonding.
B. Evidence that the grandmother is taking over baby care.
C. Evidence that the mom has applied for WIC and other support programs.
D. Intervals between breastfeeding.
ANS: A
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After a craniotomy, the nurse assesses the client and finds dry, sticky mucous membranes and restlessness. The client has IV fluids running at 75 mL/hr. What action by the nurse is best?
a. Assess the client's magnesium level. b. Assess the client's sodium level. c. Increase the rate of the IV infusion. d. Provide oral care every hour.
The nurse is working with several clients in a fitness setting. Which client is meeting the age-appropriate recommendations for physical activity developed by the Centers for Disease Control (CDC)?
1. A 37-year-old who lifts weights for one hour twice per week. 2. A 42-year-old who walks at a slow pace for 60 minutes 4 days per week. 3. A 45-year-old who walks briskly for 30 minutes 6 days per week. 4. A 57-year-old who swims for 20 minutes twice per week.
Which determinant of blood pressure would explain a client's blood pressure reading of 120/100?
1. Blood viscosity 2. Blood volume 3. Pumping action of the heart 4. Peripheral vascular resistance
The medical-surgical nurse is caring for a postoperative patient whose lab values reveal an increase in band cells (immature neutrophils). What is the nurse's best interpretation of this value?
a. The patient may need a transfusion b. The patient is using up clotting factors c. The patient is developing an infection d. The patient's result is expected postoperatively