A male infant is receiving phototherapy for the treatment of hyperbilirubinemia. Which action by the student nurse indicates that she does not fully understand the standard of care for this infant?
a. Changes the infant's position every 2 hours during therapy
b. Administers feeding to the infant while under the light
c. Covers the infant's scrotal area during therapy
d. Leaves the infant unclothed during therapy
ANS: B
All options are correct except administering formula to the infant while under the light. The infant should be removed from under the light for feedings and short parental visits.
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A male patient who has been prescribed isoniazid (INH, Nydrazid) reports that his breasts have enlarged since starting therapy. What is your best response?
a. "This is common with isoniazid and will disappear after you stop drug therapy." b. "Is the enlargement the same on both sides or is one breast larger than the other?" c. "If you are not having difficulty getting an erection, do not worry about this change." d. "I will report this problem to your prescriber and see if it is possible for you to stop taking this drug."
Which question is appropriate for the nurse to ask when assessing the health status or health behaviors of the people within the community?
1) What is the quality of the air? 2) What is the quality of the food? 3) What is the relationship between birth and death rates? 4) Is the water public or well?
The nurse is instructing a client on ways to prevent urinary tract infections. Which of the following should be included in these instructions? (Select all that apply.)
1. Drink cranberry juice. 2. Drink eight glasses of water. 3. Take baths instead of showers. 4. Urinate before and after intercourse. 5. In women, wipe back to front after voiding. 6. Take the prescribed medication until the symptoms subside
A nurse follows a physician's order to administer an oil retention enema to a constipated adult patient. Which of the following is a recommended guideline for this procedure?
A) Put on sterile gloves to perform the procedure. B) Slowly and gently insert rectal tube 4 to 6 inches. C) Direct the rectal tube at an angle pointing toward the umbilicus. D) Instruct the patient to retain the enema solution for at least 45 minutes.