The nurse is going to use a bulb syringe to clear mucus from a newborn's nose and mouth. What is the nurse's first action?

a. Place the tip in the nose and squeeze the bulb gently.
b. Suction secretions from the nose before the mouth.
c. Depress the bulb before inserting the syringe tip into the mouth.
d. Insert the tip into the back of the mouth to reach mucus.


ANS: C
The bulb is depressed, and then the tip is inserted into the mouth and then the nose. The depression is slowly released, creating the suction.

Nursing

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When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:

a. encouraging the parents to have another baby. b. encouraging the parents to remain stoic. c. allaying feelings of guilt and blame. d. learning how the event could have been prevented.

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When assessing the intellectual abilities of an older adult, the nurse demonstrates an understanding of a major barrier to reliable testing of this population when:

a. sharing with the client that the test can be scheduled at "whatever time is good for you." b. providing the client with frequent rest periods c. stating, "Just take your time and try to relax; there are no wrong answers to this test." d. assuring that the area is well-lit and quiet

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A Baltimore City nurse is aware that from 2003 to 2004 the prevalence of syphilis in the city increased by 40%. As part of the investigative team, the nurse and colleagues assessed the data related to the

new syphilis cases and were able to define it as an epidemic using which of the following steps? A. Determine if the prevalence reached epidemic threshold. B. Determine the type of epidemic. C. Review demographic cases. D. All of the above

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A patient who is to receive a third round of combination chemotherapy today reports that mouth sores were present for 4 days within a week of receiving the last round of chemotherapy. What is the nurse's best action?

a. Hold today's dose of chemotherapy and notify the prescriber immediately. b. Ask the patient whether sores were present after the first round of chemotherapy. c. Reassure the patient that this is an expected chemotherapy side effect and no ac-tion is needed. d. Administer the chemotherapy as prescribed and call the prescriber to determine whether preventive drugs are needed.

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