A mother is alarmed because her 6-week-old boy has begun vomiting almost immediately after every feeding. In the past week, the vomiting has grown more forceful, with the vomit projecting several feet from his mouth. He is always hungry again just after vomiting. At the physician's office, the nurse holds the child and gives him a bottle of water. While he drinks, she notes an olive-size lump in his right abdomen. Which condition should the nurse suspect in this child?
What will be an ideal response?
Pyloric stenosis
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A woman with Alzheimer's disease has significant apraxia and poor hygiene. Which intervention would be most appropriate for ensuring that the patient completes a shower?
a. Remind her of the need for a shower and where the shower is, and repeat this every 30 minutes until the shower is completed. b. Discuss with her the importance of showers as part of daily self-care, and elicit and resolve any obstacles to the patient's showering. c. Walk her to the shower, and provide occasional reminders of what she should do next if she seems to be unsure or begins to repeat previous actions. d. Walk her to the shower, assist her to undress, start the water, supply the soap and washcloth, and instruct her to rub her face with the washcloth.
A client requests information on weight loss approaches. Which goal should the nurse identify for this client?
a. Participate in 75 minutes of aerobic activity each day b. Weight loss of 12% of current body weight in 6 months c. Weight loss of 6% of current body weight in one month d. Verbalize methods to reduce weight through dietary planning
The nurse is caring for a client who is 3 days postoperative. Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia?
1. Measure vital signs every 4 hours 2. Assist the client to turn, cough, and deep breathe every 2 hours 3. Assist the client to ambulate around the room at least 3 times daily 4. Irrigate the client's nasogastric tube every 2 hours
The nurse has an adequate understanding of ethical issues regarding transplantation when stating which of the following?
a. "There are few Americans on the trans-plantation list.". b. "Everyone on the transplantation list receives the organ they need.". c. "There is an overabundance of organ do-nors.". d. "The majority of individuals on the trans-plantation list will die because of the shortage of organs.".