Nokea
The nurse is caring for a 14-year-old boy with a growth hormone deficiency. Which action best reflects using the nursing process to provide quality care to children and their families?
- A. Reviewing the effectiveness of interventions
- B. Questioning the facility standards for care
- C. Earning continuing education credits
- D. Ensuring reasonable costs for care provided
Correct Answer: A
Rationale: The nursing process is used to care for the child and family during health promotion, maintenance, restoration, and rehabilitation. Reviewing the effectiveness of interventions is related to outcome evaluation in the nursing process.
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Three hours after birth, a newborn of a mother with diabetes becomes jittery, has weak, high-pitched cry , and exhibits irregular respirations. The nurse recognizes that these signs are often associated with:
- A. Hypovolemia
- B. Hypocalcemia
- C. Hypoglycemia
- D. Hyperglycemia
Correct Answer: C
Rationale: Hypoglycemia is common in infants of diabetic mothers.
A pregnant client is diagnosed with anemia. What dietary recommendation should the nurse provide?
- A. Increase intake of dairy products.
- B. Consume more lean red meat.
- C. Drink tea with meals.
- D. Avoid citrus fruits.
Correct Answer: B
Rationale: Lean red meat is rich in iron, which is essential for managing anemia during pregnancy.
Which statement best describes the problem of regulation of body temperature in a 3-lb. (1361g) premature infant?
- A. The surface area of the premature infant is relatively smaller than that of a healthy-term infant.
- B. There is a lack of subcutaneous fat, which furnishes insulation.
- C. There are frequent episodes of diaphoresis causing loss of body heat.
- D. There is a limited ability to produce body proteins.
Correct Answer: B
Rationale: Lack of subcutaneous fat contributes to poor thermoregulation.
How should the nurse interpret the results of a study comparing incidence of sexually transmitted diseases between two populations?
- A. Because the CI of the RR includes the value of 1, the difference between the groups is meaningless.
- B. A 95% confidence interval is a statistically significant finding.
- C. A relative risk of 0.80 is moderately powerful.
- D. Because there is no P value reported for the CI, the nurse is unable to make any conclusions about the data.
Correct Answer: A
Rationale: If the confidence interval includes 1, the difference is not statistically significant.
What is the nurse's role in supporting breastfeeding for a first-time mother?
- A. Provide formula supplements
- B. Demonstrate proper latching techniques
- C. Recommend stopping breastfeeding
- D. Provide pacifiers to prevent overfeeding
Correct Answer: A
Rationale: Proper latching techniques help establish successful breastfeeding and prevent complications.