The pregnant woman has had no prenatal care and arrives at the hospital fully dilated. Assessment of the newborn indicates a probable gestational age of 35 weeks combined with intrauterine growth restriction
The nurse will monitor the infant for signs of neonatal abstinence syndrome, including: Standard Text: Select all that apply. 1. Poor feeding.
2. Difficult to arouse.
3. Constipation.
4. Seizures.
5. Yawning.
1,4,5
Rationale 1: This is a symptom of neonatal abstinence syndrome.
Rationale 2: These infants are usually restless and irritable, not sleepy.
Rationale 3: The infant is more likely to have diarrhea.
Rationale 4: Seizures are common in the child with neonatal abstinence syndrome.
Rationale 5: The infant with neonatal abstinence syndrome yawns frequently.
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The LPN is aware of the various changes in the healthcare field. What important factor remains the same in this time of change?
A) Nurses must provide safe, high-quality, cost-effective care to individuals, families, and communities. B) Nurses must inform clients that they will have to use facilities that are within their service area. C) Clients must become actively involved in the process of standardizing care. D) Nurses will have to work in unsafe conditions in order to provide care to clients.
The physician has ordered Heparin 850 units/hour per infusion pump. The medication is available as Heparin 25,000 units in 500 mL 1/2 NS. How many milliliters per hour will the patient receive?
A) 17 B) 18 C) 19 D) 20
When teaching a patient who is starting metformin (Glucophage), which instruction by the nurse is correct?
a. "Take metformin if your blood glucose level is above 150 mg/dL." b. "Take this 60 minutes after breakfast." c. "Take the medication on an empty stomach 1 hour before meals." d. "Take the medication with food to reduce gastrointestinal (GI) effects."
A patient with a history of GI ulcers reports feeling new onset burning, gnawing stomach pain. What is the nurse's best action?
a. Assess the patient's abdomen for the presence of active bowel sounds. b. Administer the already ordered as-needed dose of liquid antacid. c. Offer the patient food to buffer excess stomach acid. d. Notify the prescriber immediately.