The parents of a child born with severe hypoplastic left heart syndrome ask the nurse about treatment options. Which option is inconsistent with the nurse's knowledge about this condition?
A.
"Palliative or end-of-life care is one possibility."
B.
"She can be listed for a cardiac transplant."
C.
"Surgical correction involves several procedures."
D.
"We can give a series of dopamine (Intropin) infusions."
ANS: D
Although dopamine is a positive inotrope, serial infusions are not used for this condition. The other statements relay possible treatment decision points for this child.
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A nurse working with Japanese-American adolescents should be aware of nonverbal communication patterns in their culture. While working with these clients, the nurse should:
1. Shake their hands upon greeting them. 2. Look directly at them while talking with them. 3. Touch them often during the communication to reassure them. 4. Stand very close to them while talking with them.
Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the development of which of the following?
A) Maternal diabetes B) Placental insufficiency C) Neural tube defects D) Fetal gastrointestinal malformations
What action is not appropriate for a 14-month-old child with iron deficiency anemia?
a. Decreasing the infant's daily milk intake to 24 oz or less b. Giving oral iron supplements between meals with orange juice c. Including apricots, dark-green leafy vegetables, and egg yolk in the infant's diet d. Allowing the infant to drink the iron supplement from a small medicine cup
Which clinical manifestation serves as an early warning for a client who experiences migraines with aura?
A. Vertigo B. Lethargy C. Visual disturbances D. Numbness of the tongue