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The nurse's assessment of a preterm infant reveals decreased muscle tone, signs of respiratory distress, irritability, and mottled, cool skin. Which intervention should the nurse implement first?
A nurse is working with a family whose 5-year-old child has been diagnosed with impetigo. What educational intervention should the nurse include in this family's care?
A 3-month-old infant with myelomeningocele and an atonic bladder is catheterized every 4 hours to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take?
A toddler is brought to the pediatric clinic by the caregiver because the child "doesn't feel well." As the nurse interviews the caregiver about why the client is being brought in for care, which goal is the nurse prioritizing at this point in the assessment?
A community health nurse is assessing an 18-month-old toddler at a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect?
With regard to parents' early and extended contact with their infant and the relationships built, nurses should be aware that:
A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways to make his sister look bad so his parents will think he's the better sibling, which he believes will give him more privileges. The nurse should identify this dysfunctional behavior as which of the following?
A client delivers a viable infant but then begins to have excessive, uncontrolled vaginal bleeding. Which information is most important for the nurse to report when notifying the healthcare provider of the client's condition?
The nurse is conducting a staff in-service on common problems associated with myelomeningocele. Which common problem is associated with this defect?
A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights. An appropriate nursing intervention when caring for an infant with hyperbilirubinemia who is receiving phototherapy by this method would be to:
Which pair of clinical findings is a good predictor of a fluid deficit of at least 5% in an infant?