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Author Question: The nurse is performing an initial assessment on a newborn. On assessment of the newborn's head, the ... (Read 49 times)

jazziefee

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The nurse is performing an initial assessment on a newborn. On assessment of the newborn's head, the nurse notes that the ears are low-set. Which of the following nursing actions would be most appropriate initially?
 
  1. Notify the physician.
  2. Document the findings.
  3. Arrange for hearing testing.
  4. Cover the ears with gauze pads.

Question 2

The client with a history of gastrointestinal upset has been diagnosed with acute diverticulitis. The nurse gives the client suggestions for foods to aid in symptom management that are in which of the following diet types?
 
  1. A low-fat diet
  2. A low-fiber diet
  3. A high-fiber diet
  4. A high-carbohydrate diet



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komodo7

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Answer to Question 1

1

Rationale: Low or oddly placed ears are associated with a variety of congenital defects and should be reported immediately. Although the findings would be documented, the most appro-priate action would be to notify the physician. The options arrange for hearing testing and cover the ears with gauze pads are inaccurate and inappropriate nursing actions. Document the findings is not an initial action.

Answer to Question 2

2

Rationale: A low-fiber diet places less strain on the intestines because this type of diet is easier to digest. Clients should avoid high-fiber foods when experiencing acute diverticulitis. As the attack resolves, fiber can be gradually added to the diet.





 

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