The nurse is planning care in a labor and delivery unit. Which of the following families is most likely to request cord blood banking?
A. A family with a history of leukemia
B. A family with a history of infertility
C. A family who wishes to select the sex of a future child
D. A family who wishes to avoid a future intrauterine fetal surgery
A
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A 4-year-old child is admitted to the critical care unit with fever, chills, headache, vomiting, lethargy, photophobia, and nuchal rigidity. Nursing management for this patient would include
a. measuring and documenting head circumference. b. allowing the patient's siblings to visit. c. isolating the patient during initial antibiotic treatment and for 24 hours thereafter. d. administering anticonvulsant medications every 6 hours.
During the post-operative care of a 76-year old patient, the nurse monitors the patient's intake and output carefully, knowing that the patient is at risk for fluid and electrolyte imbalances primarily because
A. Older adults have an impaired thirst mechanism and need reminding to drink fluids. B. Water accounts for a greater percentage of body weight in the older adult than in younger adults. C. Older adults are more likely than younger adults to lose extracellular fluid during surgical procedures. D. Small losses of fluid are more significant because body fluids account for only about 50% of body weight in older adults.
An infant's parents ask the nurse about preventing otitis media (OM). What should the nurse recommend?
a. Avoid tobacco smoke. b. Use nasal decongestant. c. Avoid children with OM. d. Bottle-feed or breastfeed in supine position.
While completing an admission database, the nurse is interviewing a patient who states that he is allergic to latex. The most appropriate nursing action is to first
a. Leave the room and place the patient in isolation. b. Ask the patient to describe the type of reaction. c. Proceed to the termination phase of the interview. d. Document the latex allergy on the medication administration record.