A new mother asks the nurse, "How will I know early signs of hunger in my baby?" The nurse's best response is which of the following? (Select all that apply.)
a. Crying
b. Rooting
c. Lip smacking
d. Decrease in activity
e. Sucking on the hands
ANS: B, C, E
Early signs of hunger in a baby are rooting, lip smacking, and sucking on the hands. Crying is a late sign, and the baby's activity will increase, not decrease.
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A patient is scheduled for a CT scan of the abdomen with contrast. The patient has a baseline creatinine level of 2.3 mg/dL. In preparing this patient for the procedure, the nurse anticipates what orders?
A) Monitor the patient's electrolyte values every hour before the procedure. B) Preprocedure hydration and administration of acetylcysteine C) Hemodialysis immediately prior to the CT scan D) Obtain a creatinine clearance by collecting a 24-hour urine specimen.
After teaching a patient with heart failure about beta blocking agents, the nurse recognizes that additional teaching is needed when the patient states, "While taking the medication, I will:
1. Weigh myself every day." 2. Check my blood sugar regularly." 3. Notify my health care provider if I become increasingly short of breath." 4. Monitor myself daily for an increased heart rate and blood pressure."
The nurse is providing education to the parent of a child who has received the polio immunization. The parent has asked how polio is transmitted. Which of the following responses made by the nurse would be accurate? Select all that apply
a. fecal-oral route c. through a bite from an infected tick b. respiratory d. discharge from eyes and skin lesions
A mental health nurse has recently discovered that her client is taking an ephedra-based weight-loss product that is marketed as a "totally herbal remedy for weight loss." Which of the following is the most important nursing action?
A) The nurse should talk with the client about the potential for adverse events that can result from the use of ephedra. B) The nurse should instruct the client in the appropriate usage and dosing of the herbal remedy. C) The nurse should ask the client whether or not he or she has tried other weight-reduction strategies. D) The nurse should be certain that the client does not take the herbal remedy on the same dosing schedule as the client's other medications.