An infant weighing 8 lb, 4 oz at birth weighs 7 lb, 15 oz 3 days later. What should the nurse explain to the parents about this change in the newborn's weight?
1. "This weight loss is unusual."
2. "This weight loss is less than expected."
3. "This weight loss is excessive."
4. "This weight loss is within normal limits."
4
Explanation:
1. This newborn's weight loss is within normal limits. During the first 5 to 10 days of life, caloric intake often is insufficient for weight gain. Therefore, there might be a weight loss of 5% to 10% in term newborns.
2. This newborn's weight loss is within normal limits. During the first 5 to 10 days of life, caloric intake often is insufficient for weight gain. Therefore, there might be a weight loss of 5% to 10% in term newborns.
3. This newborn's weight loss is within normal limits. During the first 5 to 10 days of life, caloric intake often is insufficient for weight gain. Therefore, there might be a weight loss of 5% to 10% in term newborns.
4. This newborn's weight loss is within normal limits. During the first 5 to 10 days of life, caloric intake often is insufficient for weight gain. Therefore, there might be a weight loss of 5% to 10% in term newborns.
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When caring for a patient in shock, one of the major nursing goals is to reduce the risk that the patient will develop complications from shock. What does this require the nurse to do?
A) Provide the family with realistic expectations around the patient's prognosis. B) Keep the health care provider updated with the most accurate information because during treatment of shock, the nurse is often powerless to help. C) Monitor for significant changes and evaluate patient outcomes on a scheduled basis, focusing on blood pressure and skin temperature. D) Understand the underlying mechanisms of shock, recognize the subtle and more obvious signs, and then provide rapid assessment and response.
A client has just been prescribed an antidepressant medication. The client asks, "How long before this gets into my blood so I feel better?" How should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "The medication will be at the desired level in your blood in 3 to 4 days." 2. "We are not certain how quickly the medication gets into your blood." 3. "Let me worry about that. You just take your medicine as prescribed." 4. "The medication gets into the blood fairly quickly, but it may take weeks for you to feel the full effects." 5. "It is not just the medication getting into your blood that makes you feel better."
Which physical assessment technique would be used to determine AP:lateral ratio?
A) Inspection B) Palpation C) Percussion D) Auscultation
Which prescription should the nurse anticipate for a client that has overdosed on Clopidogrel (Plavix)?
A. Whole blood transfusion B. Platelet transfusion C. Vitamin K D. Protamine sulfate