The nurse is providing care to an infant who is diagnosed with failure to thrive (FTT). In the absence of any physiological reasons for the assessment data which does the nurse suspect?
1) Physical neglect
2) Emotional neglect
3) Psychological neglect
4) Nutritional neglect
ANS: 4
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Which of the following actions indicates that the nurse has gone beyond the boundaries of the client–caregiver relationship?
a. The nurse consciously focuses on the client during meetings. b. The nurse works to establish a trusting relationship with the client. c. The nurse instills a sense of hope in the client. d. The nurse defends the client to her family and the staff.
A client is scheduled for transsphenoidal microsurgery for removal of a pituitary adenoma. Which preoperative instruction should the nurse include?
1. The client may not use a toothbrush for several days after surgery to prevent injury to the surgical site. 2. Turn, deep breathe and cough every 2 hours. 3. The client must remain supine in bed, with sandbags alongside her head to prevent movement. 4. The client will have to take replacement growth hormone for the rest of her life.
In order to help prevent the side effect of neuroleptic malignant syndrome (NMS), the nurse should monitor the client for:
1. dehydration. 2. constipation. 3. excess fluid intake. 4. overeating.
A newborn develops jaundice when 72 hours old. Your explanation of physiologic jaundice to his parents would include that
a. it occurs after the first 24 hours of life and indicates a blood incompatibility b. it appears immediately and is of little concern c. it results from the normal breakdown of red blood cells and the infant's immature liver d. it always requires treatment with phototherapy if not resolved by the third day of life