A breastfeeding client reports nipple pain and cracking on postpartum day 2. Which is the nurse’s priority intervention?

The nurse is reviewing the assessment findings. Select the 3 findings that require immediate follow-up.

A nurse is educating a parent on preventing dehydration in a child with a fever and mild respiratory symptoms. Which instruction should the nurse prioritize to ensure effective hydration management at home?

A G1P0 client’s cervix is 8 cm dilated, 100% effaced and +1 station. What action by the nurse is most important?

The nurse is assessing primitive reflexes in a newborn. Which response indicates a normal Moro reflex?

A nurse receives the following orders at 0910 for a newborn who is being treated for jaundice in the NICU. The newborn’s serum bilirubin level was drawn 0850 and resulted at 11 mg/dL. Start phototherapy- 2 lights and one bili blanket Obtain transcutaneous bilirubin levels every 3 hours Obtain serum bilirubin levels every 6 hours Consult with lactation consultant Strict I & O Vitals signs every 2 hours Which of the following should the nurse perform first?

For each assessment finding below, indicate whether it would be consistent with worsening pre-eclampsia or magnesium toxicity.   Diminished deep tendon reflexes Persistent headache Respiratory rate 10/min Visual disturbances

A nurse is providing education to the parent of a child newly prescribed methylphenidate (Ritalin) for ADHD. Which statement by the parent indicates the need for further teaching?

Provider Prescriptions Day 2, 1015:  Initiate phototherapy. Obtain total serum bilirubin level daily. For each potential nursing action, specify if the action is indicated or not indicated for the newborn at this time.    Prepare supplies for an exchange transfusion. Maintain an eye mask on the newborn. Apply a lotion to the newborn’s skin every 4 hours. Reposition the newborn every 2 hours. 

A nurse is providing guidance to the teacher of a child who has attention-deficit/hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include in the teaching? (Select all that apply).