A nurse is making a home visit to see a new teenage mother who is currently living with her own mother. With whom should the nurse discuss how to care for the new baby?

a. All the family members who happen to be home when the nurse visits
b. Both the infant's mother and the infant's grandmother
c. The infant's grandmother, who will probably be providing most of his care
d. The new young mother, who is the one responsible for the infant


ANS: B

Nursing

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Mrs. Klein has been in a motor vehicle crash and is in the critical care unit with severe brain injury

She is comatose but when painful stimuli is applied she extends, adducts, and hyperpronates her upper extremities and has plantar flexion of the feet. This abnormal response is termed A) decorticate rigidity. B) decerebrate rigidity. C) clonic-tonic activity. D) athetosis.

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The nurse is assisting with resuscitation of a client. What priority intervention does the nurse perform before defibrillating a client?

a. Make sure the defibrillator is set to the synchronous mode. b. Deliver a precordial thump to the upper portion of the sternum. c. Test the equipment by delivering a smaller shock at 100 J. d. Ensure that all personnel are clear of con-tact with the client and the bed.

Nursing

Nursing students are learning how to objectively assess venous pulses. How would the nursing instructor teach the students to optimally position the patient for this procedure? (Mark all that apply.)

A) Use a bright light for better visualization B) Sit the patient up at a 90°angle C) Emphasize the shadows of the pulsations with lighting D) Place the head of the bed 30° to 45° E) Have the patient turn the head away from the side being examined

Nursing

An infant's brain is what portion of the weight of an adult's brain?

a. one-fourth c. one-half b. one-third d. two-thirds

Nursing