The homecare nurse is visiting a newborn-and-mother couplet. ...

[audragclark]

The homecare nurse is visiting a newborn-and-mother couplet. Which nursing action has the highest priority?
 
  1. Establish rapport with the family members.
  2. Review the hospital medical records.
  3. Determine the newborn's sleeping arrangements.
  4. Examine the umbilical cord stump.

Question 2

A woman confides to the nurse that she has pica. What alternative could the nurse suggest to the patient?
 
  1. Replace laundry starch with salt.
  2. Replace ice with frozen fruit pops.
  3. Replace soap with cream cheese.
  4. Replace soil with uncooked pie crust.

[nmyers]

Answer to Question 1

1
Rationale 1: It is critical to establish rapport with family members prior to beginning any assessments. A therapeutic relationship must exist to obtain accurate information or provide education.
Rationale 2: Although this is important, record review should be done prior to arriving at the home, so that the nurse is prepared.
Rationale 3: This is less important than another step at the outset of the visit.
Rationale 4: This is less important than another step at the outset of the visit.

Answer to Question 2

2
Rationale 1: Replacing laundry starch with salt is not an appropriate substitute. High levels of salt can lead to elevated blood pressure and fluid retention.
Rationale 2: Fruit juice, although often high in sugar, provides vitamins.
Rationale 3: Substituting soap with cream cheese is not appropriate, as cream cheese is high in fat.
Rationale 4: Replacing soil with uncooked pie crust is not appropriate, as pie crust is high in fat.

[audragclark]

Great answer, keep it coming

[Alyson.hiatt@yahoo.com]

Thanks for the timely response, appreciate it