A nurse asks the mother of a 4-month-old to undress the infant. The nurse observes the mother taking off several layers of clothing, knowing that the outdoor temperature is 70°F. Which of these statements should the nurse make to the mother?
1. "My, you are dressing your infant warmly today."
2. "Did you think it was it cold when you left your home this morning?"
3. "I see that you have many layers of clothing on your baby. This could cause your baby's temperature to rise."
4. "When you leave the office, only put one layer of clothing on your baby."
3
Rationale:
1. Making a statement on how warmly the child is dressed will not necessarily accomplish this goal.
2. This comment might cause the mother to become defensive, and so is not helpful to the mother.
3. In this scenario, the mother has overdressed the infant. The nurse needs to inform the mother of this problem gently, and to provide information to the mother on why it is a problem.
4. Telling the mother to only put one layer of clothing on the child does not provide a rationale for the mother to make a better decision the next time, and so is not helpful to the mother.
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The nurse has received an order from the health care provider to discontinue the nasogastric tube. Which of the following actions by the nurse indicates a need for further education?
a. The nurse clears the tube with air prior to discontinuing. b. The nurse stops the tube feeding. c. The nurse instructs the patient to cough while pulling out the tube. d. The nurse clamps the tube while pulling it out.
The nurse is caring for a patient who suffered a stroke on the right side of the brain. The nurse is careful to implement what safety measures? (Select all that apply.)
a. "Make sure to put a picture board in the room to communicate with the patient." b. "Place the call light on the patient's left side." c. "Leave on a light in the bathroom at night for good visibility." d. "Place the call light on the patient's right side." e. "Make sure there are no trip hazards in the patient's room."
The family of your client, an elderly person whose physical and mental condition has deteriorated, believed that they could no longer care for the client
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A nurse is planning the evaluation of a mental health screening program in the community. What should be included in the process evaluation of this program?
a. Asking whether program goals were adequately met b. Determining whether more people sought follow-up care after the screening c. Determining the number of people who attended and were screened d. Measuring whether the incidence of disease changed