The nurse is making a postpartum home visit in the summer. The new father asks about taking the baby to a family outing this weekend. The nurse should encourage the father to do which of the following?
1. Cover the infant with dark blankets to block the sun.
2. Keep the infant in the shade.
3. Uncover the infant's head to prevent hyperthermia.
4. Avoid taking the infant outdoors for 6 months.
2
Explanation: 2. To prevent sunburn, the newborn should remain shaded, wear a light layer of clothing, or be protected with sunscreen specifically formulated for infants.
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The nurse is applying a hydrocolloid dressing to a client's wound, which measures 2 inches by 3 inches. The nurse would cut the dressing to which dimensions?
1. 3.5 inches by 4.5 inches 2. 2 inches by 3 inches 3. 1 1/2 inches by 2 1/2 inches 4. 1 inch by 1 1/2 inches
While caring for a labor client, you notice during a vaginal exam that the baby's head has rotated internally. What would you expect the next set of cardinal movements for a baby in a vertex presentation to be?
1. Flexion, extension, restitution, external rotation, expulsion 2. Expulsion, external rotation, restitution 3. Restitution, flexion, external rotation, expulsion 4. Extension, restitution, external rotation, expulsion
A client suffers from migraine headaches and is ordered to receive sumatriptan succinate (Imitrex). The client asks why the medication works. The nurse explains that this medication:
a. dilates cerebral vessels to increase cerebral blood flow. b. causes vasoconstriction to relieve migraine attacks. c. increases blood flow and oxygen to the brain. d. decreases blood pressure in order to decrease oxygen to the brain.
A nurse is working on a telemetry unit when one of the clients has a cardiac arrest. The client's spouse is in the room when the code team arrives. Which statement by the nurse to the spouse is the best in this situation?
1. "I know you're worried about your loved one. I'm sure this is a difficult situation for you. Do you have any questions right now?" 2. "Your spouse's heart stopped. All these people are here to help get it started." 3. "Your spouse's physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now." 4. "Is there someone you would like to call? I'm sure this is a scary situation and you may feel more comfortable if someone were with you during this time."