Answer to Question 1
ANS: C
Allowing the client to express her feelings is the most appropriate nursing response. The nurse should never provide the client with false reassurance or disregard her feelings. Saying to not worry is belittling the client's concerns and does not allow her to express her concerns. Saying clients commonly worry about surgery is closed-ended and belittling to the client's feelings. Acknowledging the worry but stating that the procedure is just routine is stating that the client's feelings are not important.
Answer to Question 2
ANS: D
With short hospital stays, infants may be discharged with a prescription for home phototherapy. It is the responsibility of the nurse planning discharge to include important information such as the need for a follow-up visit with the health care provider in 2 or 3 days to evaluate feeding and elimination pattern and to have blood work done if needed. The parents should be taught to not apply oil or lotions to prevent increased tanning; the baby's eye shields can come off when the phototherapy lights are turned off, and the infant's temperature needs to be monitored but not taken every 2 hours.
The Cells of the Innate Response
The CHRIS manual entry for toluene. Useful information includes response information, chemical and ...
Inspection of client
Measuring the client’s height with a platform scale
Testing the client’s ability to feel vibrations, the toe
Testing the Achilles tendon reflex with client in a sitting position