You are a maternal-newborn nurse caring for a mother who just delivered a baby with Down syndrome. Which of the following nursing diagnoses would be the most essential in caring for the mother of this infant?
1. Disturbed body image
2. Risk for interrupted family processes
3. Anxiety
4. Risk for injury
2
1. Incorrect. It is common for women to experience body image disturbances in the post-partum period, but this is unrelated to giving birth to a child with Down syndrome.
2. Correct. This mother will likely experience a disruption in the family process related to the birth of a baby with an inherited disorder.
3. Incorrect. The mother will likely have a mix of emotions that may include anxiety, guilt, and denial but this is not the most essential nursing diagnosis for this family.
4. Incorrect. This nursing diagnosis is not applicable.
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The older female adult has mild hyponatremia and constipation. The nurse is unable to use which remedy for constipation for this woman?
a. Offer fresh fruit daily. b. Encourage fluids by mouth. c. Administer a stool softener. d. Promote frequent ambulation.
The nurse is collaborating with the wound-ostomy-continence (WOC) nurse to teach a patient how to manage her new ileal conduit in the home setting. To prevent leakage or skin breakdown, the nurse should encourage which of the following practices?
A) Empty the collection bag when it is between one-half and two-thirds full. B) Limit fluid intake to prevent production of large volumes of dilute urine. C) Reinforce the appliance with tape if small leaks are detected. D) Avoid using moisturizing soaps and body washes when cleaning the peristomal area.
A patient reports awakening at 1 am after only 2 hours of sleep and being unable to return to sleep for several hours. The patient is becoming increasingly anxious and requests a sleeping medication that will not cause a hangover
The nurse anticipates that which drug will be prescribed? a. Zolpidem b. Zaleplon c. Flurazepam d. Trazodone
The physiology of sleep is complex. Which of the following is the most appropriate statement in regard to this process?
1. Ultradian rhythms occur in a cycle longer than 24 hours. 2. Nonrapid eye movement (NREM) refers to the cycle that most clients experience when in a high-stimulus environment. 3. The reticular activating system is partly responsible for the level of consciousness of a person. 4. The bulbar synchronizing region (BSR) causes the rapid eye movement (REM) sleep in most normal adults.