The nurse is caring for a macrosomic newborn whose mother has diabetes. What should the nurse assess for with this neonate?
a. Hypoglycemia
b. Erythroblastosis fetalis
c. Intracranial hemorrhage
d. Pancreatic failure
ANS: A
The newborn of a mother with diabetes is prone to hypoglycemia.
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The parents of a child diagnosed with vesicoureteral reflux (VUR) want to know why their child's kidneys appear large on an abdominal x-ray. Which response by the nurse is the most appropriate?
A. Enlarged due to urine backup B. Genetic defect causing VUR C. Multiple tumors D. Unrelated finding
When checking routine vital signs, you note that your client has an increase and then a decrease in pulse amplitude associated with respirations. Your client is exhibiting:
1. pulse bigeminy. 2. tachycardia. 3. pulsus paradoxus. 4. pulsus alternans.
A nurse you are working with gets sick and goes home. You know that she charted before giving her medications, and you saw her passing some medications. You are not sure who got their medications and who did not. Mrs
G, a patient who is alert and oriented and a reliable historian for herself, sees you and says, "That new nurse forgot my medication this morning. It's my heart medication and I need it. Would you get it for me?" You see the medication has been charted already. Your next action would be: A) Refuse the patient, telling her, "You're mistaken, Mrs. G. That medication is signed for, so you must have gotten it." B) Give Mrs. G her heart medication and assume she is right. C) Call the physician. D) Inform your supervisor of the entire situation.
Which of the following best describes the primary difference between parish nursing and all other nursing positions?
a. Affiliation with a church or congregation b. Incorporation of spiritual aspects into nursing care c. Provision of holistic nursing care d. Residence within the community of service