When measuring the head circumference of an infant, the nurse should place the tape measure:
a. across the eyebrows and around the occipital lobe.
b. over the zygomatic arches and around the parietal areas.
c. around forehead and around the crown of the head.
d. above the eyebrows and pinnas and around the occipital lobe.
D
Head circumference is measured in children up to 36 months above the eyebrows and pinnas and around the occipital lobe.
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A nurse is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care. b. Changes in pharmacologic management of labor prompted family-centered care. c. Demands by physicians for family involvement in childbirth increased the practice of family-centered care. d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.
When entering the room of an older adult to insert a catheter, what would be the most effective approach by the nurse?
a. Touch the patient and say, "I need to insert this catheter." b. Approach the bed, turn back the cover, and announce, "The doctor wants a urine specimen." c. Open catheter tray at bedside, turn back the cover, and say, "Is it okay to put a tube in your bladder?" d. Introduce yourself at the door and ask, "May I insert this catheter for a urine specimen?"
The nurse is preparing to administer a medication via a jejunostomy tube to a patient who is receiving continuous tube feedings. The medication needs to be given on an empty stomach and comes only in tablet form
What action should the nurse take first? a. Add the medications directly to the tube feeding. b. Flush the tubing before the medication is given. c. Stop the feeding 30 minutes before medication administration. d. Dissolve the medication in cold water.
While implementing Plan-Do-Check-Act, which action is the nurse most likely to perform?
a. Documentation of client care b. Obtain certification in a specialty area c. Review data after changing practice d. Provide equal access to care