A nurse is transferring a patient who suffered a spinal cord injury at C4, has a tracheostomy, and receives tube feedings through a jejunostomy tube to a long-term care facility. What information should the nurse include in the handoff?
Select all that apply.
A. The last time the patient had a bowel movement
B. The patient's motor and sensory responses
C. The last dose of medication received
D. The patient's food preferences
ANS: A, B, C
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You are working in Labor and Delivery and assessing the father-to-be for signs that he is adapting to his role. Which of the following would indicate that the father is adapting? (Select all that apply.)
a. He participates in identifying childcare op-tions. b. He coaches her, encourages her, and shares her experience. c. He tells you that he is eager to hold his baby as soon as the baby is born. d. He physically soothes the other by massaging her back. e. He sits by the bed reading a magazine and refusing to touch her. f. He tells the mother to stop complaining be-cause he knows the pain is not that bad.
When reviewing normal menstruation with an early adolescent, you would teach that during the second half of a typical menstrual cycle, the endometrium of the uterus becomes
A) thin and transparent, because of progesterone stimulation. B) twisted and ragged, because of follicle-stimulating hormone. C) thick and purple-hued, because of estrogen stimulation. D) corkscrew-like, because of progesterone stimulation.
The perinatal nurse describes infant feeding cues to a new mother. These feeding cues include which of the following behaviors? (Select all that apply.)
A. Mouth movements B. Moving the hand to the mouth C. Sticking the tongue out D. Vocalizations E. Yawning
The nurse is preparing to collect an ordered urine sample for urinalysis. The nurse should be aware that this test will include what assessment parameters? Select all that apply
A) Specific gravity of the patient's urine B) Testing for the presence of glucose in the patient's urine C) Microscopic examination of urine sediment for RBCs D) Microscopic examination of urine sediment for casts E) Testing for BUN and creatinine in the patient's urine