Author Question: The nurse is caring for an African American patient with COPD. The nurse knows that the best ... (Read 109 times)

Evvie72 · **on:** Jul 22, 2018

The nurse is caring for an African American patient with COPD. The nurse knows that the best location to assess for hypoxia is the

a. Nailbeds.
b. Oral mucosa.
c. Earlobe.
d. Lower extremities.

Question 2

The nurse is working with a family that has just brought home a newborn. This is their first child and they have concerns about the baby's nutrition. Which of the following will the nurse rec-ommend to the parents?

a. Introduce solid foods at 3 months of age.
b. Provide cereals and fruits after 6 months of age.
c. Add honey to water to encourage intake.
d. Use cow's milk if the baby will not be breastfed.

Question 3

The client has bilateral casts on the upper extremities, so the nurse will be measuring the blood pressure in the leg. Where does the nurse palpate the pulse before the measurement?

a. Popliteal fossa behind the knee
b. Inner side of the ankle below the medial malleolus
c. Top of the foot between the extension tendons of the great toe
d. Inguinal ligament midway between the symphysis pubis and the anterior superior iliac spine

Shshxj · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Because of skin pigmentation, translucent areas of high blood flow such as mucous membranes are best to check for cyanosis, which is a sign of hypoxia. It is important to remember that cyanosis is a late sign of hypoxia.

Answer to Question 2

B
After 6 months of life, infants are ready for cereals and fruits, which provide iron and additional sources of vitamins.
The introduction of solid foods is not recommended before age 6 months because the gastroin-testinal tract is not sufficiently mature to handle these complex nutrients, and infants are exposed to food antigens that may produce food protein allergies.
Honey should not be given to infants because of the potential for infant botulism poisoning.
Cow's milk is not recommended in the first year because of the infant's decreased ability to di-gest the contained fat. An iron-fortified commercially prepared formula should be used instead.

Answer to Question 3

A
The popliteal artery, palpable behind the knee in the popliteal space, is the site for auscultation when taking the blood pressure in the leg.
The inner side of the ankle below the medial malleolus is not the correct site for assessment be-fore measuring the blood pressure in the leg.
The top of the foot between the extension tendons of the great toe is not the correct site for as-sessment.
The inguinal ligament midway between the symphysis pubis and the anterior superior iliac spine is not the correct site for assessment.