The mother of a newborn asks the nurse why her baby received a vitamin shot and what it was. The nurse responds by telling the mother that it was:
1. Vitamin A, which prevents vision problems.
2. Vitamin D, which is necessary for digestion and absorption of milk.
3. Vitamin E, which is an antioxidant that stimulates growth.
4. Vitamin K, which prevents hemorrhagic conditions in newborns.
4
Rationale: Newborns have a diminished ability to clot blood and are more prone to hemorrhages; vitamin K injections are given to prevent hemorrhages. Vitamins A, D, and E are not given to newborns.
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A client with acquired immune deficiency syndrome is hospitalized and has weeping Kaposi's sarcoma lesions. The nurse dresses them with sterile gauze. When changing these dressings, which action is most important?
a. Adhering to Standard Precautions b. Assessing tolerance to dressing changes c. Performing hand hygiene before and after care d. Disposing of soiled dressings properly
Which intervention would best address the nursing diagnosis of Imbalanced nutrition for elderly patients in stages 2 to 3 of Alzheimer's disease?
a. Monitor the frequency and characteristics of bowel movements. b. Offer finger foods the patient can take away from the table. c. Monitor intake and output, and take patient weights each week. d. Provide protein-dense foods to provide for neurological regrowth.
The nurse is caring for a pregnant client who speaks little English. Which of the following actions should the nurse take to make certain that the client understands the plan of care?
1. Write all of the instructions down and send them home with the client. 2. Obtain a medical interpreter of the language the client speaks. 3. Ask a housekeeper who speaks this language to interpret. 4. Use gestures and facial expressions to get the plan across.
Which statement made by a parent would be consistent with a developmental delay?
a. "I have noticed that my 9-month-old infant responds consistently to the sound of his name.". b. "I have noticed that my 12-month-old child does not get herself to a sitting position or pull to stand.". c. "I am so happy when my 1 1/2-month-old infant smiles at me.". d. "My 5-month-old infant is not rolling over in both directions yet.".