When changing a diaper, the nurse observes that a 2-day-old infant has passed a green-black, tarry stool. What should the nurse do?
a. Notify the provider immediately.
b. Do nothing; this is normal.
c. Give the baby sterile water until the mother's milk comes in.
d. Apply a skin barrier cream to the buttocks to prevent irritation.
ANS: B
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You are helping a resident dress. Which clothing will help prevent skin tears?
a. Garments with zippers b. Shorts and a sleeveless blouse c. A hospital gown d. A soft long-sleeve sweatshirt and sweat-pants
The nurse prepares a client for a diagnostic procedure where succinylcholine will be administered. Which information should be given to the client?
1. Succinylcholine is not associated with any side effects. 2. Transient muscle pain is common after receiving succinylcholine. 3. Nerve damage can occur after receiving succinylcholine. 4. There is a high risk of arrhythmias with administration of succinylcholine.
A patient had a TURP and has a three-way urinary catheter taped to the left thigh. What does the nurse instruct about the position of the left leg?
A. Maintain slight abduction B. Maintain slight flexion of the hip C. Keep the legs elevated D. Keep the leg straight
Part of the initial patient orientation to the unit must always include
A. routinely giving the patient a glass of water. B. obtaining a urine specimen. C. showing the patient how to use the call signal. D. listing the patient's medications.