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What information will the nurse provide when educating this patient on alendronate (Fosamax)?
- A. Drink 8 oz. of water following dosage.
- B. Lay down for 30 minutes after taking.
- C. This medication has no known side effects.
- D. Avoid weight-bearing exercises.
Correct Answer: A
Rationale: Alendronate (Fosamax) may cause esophageal and gastric irritation. The patient should drink 8 ounces of plain water and sit upright for 30 minutes after taking the drug and before eating. Weight-bearing exercises are advisable, and high-impact exercises should be avoided.
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The nurse takes into consideration that newborns are especially prone to dehydration because of which aspects of their physiology?
- A. Small glomeruli
- B. Minimal renal blood flow
- C. Inactive gastrointestinal (GI) tract
- D. Excessive fluid loss from the sweat glands
- E. Immature renal tubules that do not concentrate urine
Correct Answer: A,B,E
Rationale: Newborns are prone to dehydration due to small glomeruli, minimal renal blood flow, and immature renal tubules that do not concentrate urine effectively.
What will the nurse expect the stool color to be 2 days after birth?
- A. Yellow
- B. Brown
- C. Greenish brown
- D. Black and tarry
Correct Answer: A
Rationale: The stool of a breastfed infant is bright yellow, soft, and pasty by 2 days after birth.
What action does the nurse implement to protect newborns from infection while in the nursery?
- A. Keep the newborn dressed warmly.
- B. Adjust room temperature between 23.8?°C (75?°F) and 26.6?°C (80?°F).
- C. Wash hands before touching each infant.
- D. Wear a disposable gown when giving infant care.
Correct Answer: C
Rationale: Hand washing is the most reliable precaution to prevent infection between handling different babies.
What is nurse's most helpful response?
- A. Give the baby one serving of fruit per day.'
- B. Increase the amount and frequency of her feedings.'
- C. It sounds like the baby is uncomfortable because she is constipated.'
- D. Newborns might strain with bowel movements because their muscles aren't fully developed.'
Correct Answer: D
Rationale: Straining in the newborn period is normal due to underdeveloped abdominal musculature and requires no treatment.
Which interventions would be included in the nursing care of the newly circumcised infant?
- A. Wash penis with warm water.
- B. Wipe with alcohol swab.
- C. Gently remove the yellow crust formation.
- D. Apply diaper loosely.
- E. Dress with simple bandage.
Correct Answer: A,D
Rationale: Postcircumcision care includes washing with warm water and diapering loosely, while avoiding alcohol wipes and leaving the yellow crust in place.