Answer to Question 1
A
Vomiting is a sign of increased intracranial pressure and should be reported immediately. The other symptoms are normal for a patient with spina bifida.
Answer to Question 2
C
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A Incorrect. When a caregiver has tried standard nipples, preemie nipples, and all kinds of special nipples without much success, the best plan is not to teach feeding with a spoon. If the child had surgery for repair of a cleft palate, hard objects should not be allowed in the child's mouth until healing has adequately progressed.
B Incorrect. When a caregiver has tried standard nipples, preemie nipples, and all kinds of special nipples without much success, the best plan is not to teach feeding with a sippy cup. This cup requires stronger, more forceful sucking than any nipple.
C Correct. When a caregiver has tried standard nipples, preemie nipples, and all kinds of special nipples without much success, the best plan is to teach feeding with an Asepto syringe with a rubber tip.
D Incorrect. When a caregiver has tried standard nipples, preemie nipples, and all kinds of special nipples without much success, the best plan is not to teach feeding with a special straw for drawing fluid up. If the infant cannot successfully feed with special nipples, a special straw will probably not be effective.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
The nurse assesses the patient's ability to use the walker correctly
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Laparoscopic surgery.
Nurse Sandy
After the death of a loved one, family members report concerns about last place of care.