The nurse is teaching new mothers about diaper rash. Which statement by a new mother is the most accurate about this disorder?
A) "The formula I give my child sometimes causes a diaper rash."
B) "My child gets diaper rash if I wash her clothes in the same detergent we use for the family."
C) "Sometimes if I leave the diaper off and let him be in the sunshine he gets diaper rash."
D) "They told me to use baby powder every time I change her so she won't get diaper rash."
Ans: B
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A certified nurse's aide (CNA) has been reported to the nurse manager for refusing to perform hand hygiene between clients when providing morning care. Which statement by the nurse manager would be the most effective?
1. "Do you need a class on hand hygiene?" 2. "Forgetting to perform hand hygiene between clients can spread infection." 3. "Why do you refuse to perform hand hygiene?" 4. "If I hear of any more instances of you not performing hand hygiene, I will write you up."
During a home visit, the nurse suspects that a newborn is at risk for failure to thrive (FTT). Which statement by the child's mother support the nurse's suspicions?
A) "I do not like to cook." B) "I need help learning to breastfeed my baby." C) "I have a glass of wine with dinner once a week." D) "I stopped taking Wellbutrin because I was concerned about it affecting my baby."
Which finding most concerns the nurse that the client has pernicious anemia?
1. The client takes a daily antacid tablet. 2. Report of tingling and hand clumsiness 3. B12 level 300 pg/mL 4. Bowel movement frequency is every three days.
For which client should the nurse remain alert for the possible development of septic shock?
A. 25-year-old man with irritable bowel syndrome B. 52-year-old man taking beta blockers for hypertension C. 37-year-old woman who is 20% above ideal body weight D. 68-year-old woman with cancer being treated with chemotherapy