The nursing assessment of an infant reveals expiratory grunting, substernal retractions, and a temperature of 99° F (32.2° C). What is the first nursing action?
- A. Place the infant in Trendelenburg position.
- B. Begin administration of 40% humidified oxygen via hood.
- C. Increase the temperature of the environment
- D. Perform a complete assessment for congenital anomalies.
Correct Answer: B
Rationale: Oxygen administration addresses potential respiratory distress.
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The nurse is caring for a pregnant person who is living in an underserved area of town with a history of childhood abuse, opioid use disorder, and asthma. What can the nurse do to decrease the risk of maternal mortality?
- A. Connect the patient to a counselor.
- B. Educate the patient on the risk factors for maternal mortality.
- C. Give prn albuterol for asthma.
- D. Discuss how they need to move out of the poor area of town.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Connecting the patient to a counselor addresses the underlying issues of childhood abuse and opioid use disorder, which can contribute to maternal mortality.
2. Counseling can provide support, coping strategies, and mental health assistance crucial for at-risk individuals.
3. Addressing mental health concerns can improve overall well-being and increase the likelihood of seeking appropriate prenatal care.
Summary:
B: While education on risk factors is important, it may not directly address the patient's specific mental health and trauma history.
C: Giving albuterol for asthma is essential but does not directly address the underlying factors contributing to maternal mortality.
D: Moving out of the poor area is not a feasible or realistic solution and does not address the patient's mental health and substance abuse issues.
What is recognized as effective use of hormone replacement therapy (HRT)?
- A. No woman should ever take hormone replacement therapy.
- B. Women experiencing severe menopausal symptoms.
- C. Women with severe coronary artery disease.
- D. Women with a history of breast cancer.
Correct Answer: B
Rationale: HRT is beneficial for managing severe menopausal symptoms.
The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:
- A. It would be a good idea because circumcision is known to prevent penile cancer.
- B. That's something you both will have to decide after you discuss it thoroughly with your doctor.
- C. The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure.
- D. I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'
Correct Answer: D
Rationale: Providing balanced information facilitates informed decision-making.
A nurse is working in a Level 4 hospital. What type of patient would the nurse expect to see?
- A. a first-time pregnant person with good fetal movement
- B. a pregnant person who needs neurosurgery
- C. a postpartum person with asthma
- D. a pregnant person who plans to birth in a birth center
Correct Answer: B
Rationale: The correct answer is B: a pregnant person who needs neurosurgery. In a Level 4 hospital, which is a facility capable of providing the highest level of care, the nurse can expect to see patients with complex and critical medical conditions like a pregnant person requiring neurosurgery. This level of hospital is equipped with advanced medical technology and specialists to handle such cases.
A: a first-time pregnant person with good fetal movement - This choice is incorrect as it does not specify any complex medical condition that would require the services of a Level 4 hospital.
C: a postpartum person with asthma - While asthma can be a serious condition, it does not necessarily require the highest level of care provided by a Level 4 hospital.
D: a pregnant person who plans to birth in a birth center - This choice is incorrect as it suggests a low-risk pregnancy that can be managed in a less intensive care setting than a Level 4 hospital.
What is one purpose of the Healthy People 2030 objectives?
- A. Stop world hunger.
- B. Prevent conflict and war in other countries.
- C. Address issues in health care to solve cancer.
- D. Recommend changes to increase health promotion and disease prevention.
Correct Answer: D
Rationale: The correct answer is D because the Healthy People 2030 objectives aim to recommend changes to increase health promotion and disease prevention. These objectives focus on improving the overall health of the population by setting specific targets and goals for health promotion and disease prevention strategies. Choices A, B, and C are incorrect because the Healthy People 2030 objectives are specifically designed to address public health issues within the United States, not worldwide hunger, conflict in other countries, or solely cancer-related issues.