Findings of excessive salivation, along with reports of choking and coughing during the newborn's feeding, may indicate which of the following?
a. early signs of viral infection c. milk allergy
b. hypertrophic pyloric stenosis d. tracheoesophageal fistula
D
Excessive salivation, drooling, choking, and coughing during a newborn's feeding is an early sign of tracheoesophageal fistula. Early signs of a viral infection may include exudative pharyngitis, fever, sore throat, and cervical adenitis. Nonbilious vomiting progressing to projectile vomiting are signs of hypertrophic pyloric stenosis. Common clinical manifestations of a milk allergy include diarrhea, vomiting, colic, wheezing, and bloody stools.
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A midwife who is providing care for a woman during her first pregnancy is assessing for intrauterine growth retardation (IUGR) during an early prenatal checkup. Which of the following questions best addresses the risks for IUGR?
A) "What does your typical diet look like over the course of a day?" B) "What is the highest level of education that you've finished?" C) "Are there many people in your life that you can count on for help and support?" D) "How would you describe your mood since you've been pregnant?"
One of the most reliable predictors for worsening autosomal dominant polycystic kidney disease is
A) serum creatinine levels. B) blood urea nitrogen (BUN) level. C) urine albumin excretion (UAE). D) urine specific gravity.
The nurse is concerned that refeeding syndrome may be occurring in a patient receiving enteral nutrition. Which laboratory values would support this concern?
1. Serum potassium is 3.4 mEq/L 2. Fasting blood glucose is 98 mg/dL 3. Hemoglobin is 10.8 g/100 mL 4. Serum sodium of 138 mEq/L 5. Chloride of 98 mmol/L
A patient who has been diagnosed with peripheral arterial disease (PAD) has a nursing diagnosis of Risk for Impaired Skin Integrity related to reduced peripheral circulation. Which instruction is most appropriate to address this diagnosis?
1. PAD signs and symptoms 2. Pain control measures 3. Risk factors that may increase problems with PAD 4. Protecting the legs from injury