The nurse is assessing the newborn and discovers a yellowing of the skin. What is true for jaundice that appears at birth?
a. Within normal limits
b. Pathologic
c. A result of iron deficiency
d. Indicating possible hepatitis
ANS: B
Jaundice observed at birth is considered an indicator of a pathologic condition, erythroblastosis fetalis. It is considered abnormal.
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A nurse is very upset at a patient's death. Her supervisor tells her to get over it and get on with her job. What is the nurse experiencing?
1. Delayed grief 2. Ambiguous loss 3. Complicated grief 4. Disenfranchised grief
The nurse suspects a patient is experiencing a distended bladder. Which patient statement did the nurse use to make this determination?
1. "I am in pain, and it is worse when I press on my abdomen." 2. "My back is killing me." 3. "It feels like someone is stabbing me in the abdomen with a knife." 4. "It hurts constantly with spasms once in a while."
A client being discharged needs physical therapy for progressive ambulation, wound care to treat a postoperative wound, and assistance with the payment of hospital bills
Before the nurse contacts a home care agency, who should write the order for the client to receive home care? 1. Physician 2. Nurse 3. Social worker 4. Physical therapist
A patient was given pre-operative drugs. Which is correct?
a. The drugs will help the person to not re-member any of the surgery. b. Bed rails are lowered. c. The person is allowed out of bed to void. d. The person will feel thirsty and have a dry mouth.