A nurse is caring for four newborns. The finding the nurse should report to the provider is:
A 12-hr newborn who has a HR of 70/min while
... [Show More] sleeping.
Rationale: The average HR for a newborn is 80-100/min while sleeping. May increase to 180/min during ep. Of crying.
A nurse is contributing to the plan of care for a client who plans to formula feed her newborn. The ff action the nurse should include in the plan is to:
Have the client place ice packs on her breast four times/day.
Rationale: Engorgement can occur in the non-breastfeeding client. It is uncomfortable, & occasionally painful. Ice application to the breast for 15-20 min, QID for 5 days, avoiding breast stimulation & keeping warm water off the breast during showering are effective methods to reduce milk production & suppress lactation.
A nurse is caring for a client who is at 34 wks gestation & has prescription for terbutaline for preterm labor. The statement of the client that the nurse has to prioritize is:
“My heart feels as if it is racing”
A nurse in an antepartum clinic answers a phone call from a client who is at 37 wks gestation & reports, “I became very dizzy while lying in the bed this morning, but the feeling went away after when I turned on my side.” The action the nurse should take is:
Instruct client about vena cava syndrome & measures to prevent it.
Rationale: This is a typical finding for vena cava syndrome, or hypotension that occurs in the client who are pregnant upon assuming supine position. Caused by compression of the inferior vena cava by the gravid uterus with a consequent reduction in venous return. Side-lying position promotes uterine perfusion & fetoplacental oxygenation.
A nurse is caring for a client who has Trichomoniasis & prescription for metronidazole. The nurse must instruct the client to:
“You & Your partner need to take the medication & use a condom during intercourse until cultures are negative.”
Rationale: T-vaginalis is an STI. Both gender can be infected. Treated with Flagyl(metronidazole). However, for the tx to work, it is important to make sure both sexual partners receive tx to prevent reinfection, & use of condom during sexual intercourse while being treated.
A nurse is reinforcing teaching about formula feeding with a parent of a newborn. The statement by the parent indicates an understanding of the teaching is: [Show Less]