The nurse is weighing an underweight infant diagnosed with failure to thrive (FTT) and notes that the baby does not make eye contact and is less active than the other infants
What would be a probable cause for the FTT related to the infant's body language?
A) Congenital heart defect
B) Cleft palate
C) Gastroesophageal reflux disease
D) Maternal abuse
D
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The nurse wants to begin helping a resident who is overweight and has urinary incontinence with healthy bladder behavior skills. Which intervention should the nurse implement?
a. Begin a low-calorie diet for weight man-agement. b. Schedule voiding at 2- to 4-hour intervals. c. Instruct the resident to practice abdominal exercises. d. Reduce the time between an urge to void and voiding.
A nurse is caring for a visually impaired patient who requires discharge instructions. When speaking with the patient, the nurse should do which of the following? Select all that apply
1. Face the patient directly. 2. Ensure that the patient's glasses are on. 3. Sit in front of a light that causes a glare. 4. Provide the patient with larger-print handouts. 5. Offer the patient handouts with small print.
The nurse is auscultating the carotid arteries of an elderly client and notes a bruit over the left carotid artery. Which of the following should the nurse do with this assessment finding?
1. Notify the physician 2. Document the findings as normal 3. Auscultate the heart for murmurs 1. Examine for jugular vein distention
When auscultating the patient's BP, what should the nurse do to avoid the auscultatory gap?
A) Take a palpable BP. B) Inflate the cuff 20 to 30 mm Hg greater than the point where the palpable pulse is obliterated. C) Inflate the cuff to the point where the palpable pulse is obliterated. D) Always inflate the cuff above 200 mm Hg pressure.