A nurse is helping a client feed her newborn, who has a cleft lip and palate. Which of the following guidelines would the nurse include when teaching the client about feeding an infant with a cleft palate?
A) Placing the infant in the supine position
B) Using special cleft palate nipples
C) Reducing the size of the hole in the nipple
D) Placing the Lamb's nipple over the defect
B
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Mr. Thomas, who is 50 years old, is being treated for pneumonia and dehydration. He has a history of alcoholism and admits to starting to drink heavily again
He tells you, "I'm a horrible person. My family deserves someone better than me to care for them." Your most therapeutic response to him is: A. "It sounds as though you are feeling guilty about drinking, Mr. Thomas. Tell me more about what you mean by that." B. "Why do you say that, Mr. Thomas?" C. "I'm sure that your family is satisfied, Mr. Thomas." D. "Your drinking doesn't sound that serious."
Chemotherapy has been used for the past 3 months to treat a client with pancreatic cancer. The CA 19-9 levels are rising. Which explanation would the nurse attribute as the most likely cause?
A) It is normal for this antigen to rise for up to 6 months. B) The client is having an adverse response to the chemotherapy. C) The chemotherapy is effectively destroying the cancer cells. D) The cancer is growing despite the chemotherapy treatment.
Assessing in the affective learning domain would include:
1. observing how a new mother handles her baby. 2. checking the client's reading ability. 3. determining the client's attitude about being ill. 4. determining the client's ability to verbally communicate.
The nurse has completed teaching a patient about risk factor modifications for hypertension. Which of the following patient statements would indicate the need for further teaching?
1. "I will quit smoking.". 2. "I can drink a glass of wine weekly.". 3. "I will limit my intake of calcium.". 4. "I will take walks several times a week.".