The nurse is caring for a child with cleft lip and palate. Which of the following would the nurse identify as a potential complication of this disorder? (Select all that apply)

Last week, a client delivered their first pregnancy at 16 weeks gestation.  During the follow-up visit in the family health clinic today, the client notices the chart states they have had a spontaneous abortion. The client is upset over the use of the word abortion.  How can the nurse best explain this terminology to the client?

The nurse is assessing a newborn born at 28 weeks gestation. Which of the following findings would be of greatest concern when planning nursing interventions?

Last week, a client delivered their first pregnancy at 16 weeks gestation.  During the follow-up visit in the family health clinic today, the client notices the chart states they have had a spontaneous abortion. The client is upset over the use of the word abortion.  How can the nurse best explain this terminology to the client?

A nurse is assessing the face of a 5-year-old child and notes multiple areas of honey-colored crusted exudate from ruptured vesicles on the cheeks and around the mouth. Which of the following conditions is consistent with these signs and symptoms? 

 A client is 4 days post-op a vaginal hysterectomy. The indwelling urinary catheter was removed 24 hours ago urine output for the previous shift was 410 mL, vital signs are T 100.1° F, HR 84; RR 20, and BP 110/70.  The client complains of burning with urination. Which of these newly received orders from the HCP will you prioritize and implement? 

The nurse is caring for an infant being treated for Acute Otitis Media (AOM). The nurse knows that complications of AOM include all of the following except:

You are administering heparin and following the protocol below for a client weighing 251 lbs. The order is to administer an initial heparin IV bolus followed by a titrated IV infusion.  Round to the tenths place. HEPARIN PROTOCOL Initial bolus- 60 units/kg Initial rate – 12 units/kg/h Obtain a PTT every 6 hours, and adjust dosage and rate as follows: If a PTT is less than 35 secs:      Repeat bolus with 40 units/kg and increase the rate by 4 units/kg/h. If a PTT is 36 to 44 seconds:       If a PTT is 36 to 44 seconds:          Repeat bolus with 20 units/kg and increase the rate by 2 units/kg/h. If a PTT is 45 to 75 seconds:       Continue current rate. If a PTT is 76 to 90 seconds:       Decrease rate by 2 units/kg/h. If a PTT is greater than 90 secs: Hold the heparin for 1 hour and decrease rate by 3 units/kg/h. Available (for bolus)  – heparin 1,000 units/mLAvailable (for infusion) –  heparin 25,000 units in 250 mL D5   6 hours later the PTT results from the lab are- PTT 80 secs.  The client is currently receiving 12units/kg/hr. What rate (mL/h) will the nurse set the pump at for the titrated heparin IV infusion in response to the PTT of 80 secs.

A nurse is giving discharge instructions to the parents of a newborn with congenital heart disorder.  What should the nurse instruct the parents to do in the event that the child becomes cyanotic?

A 34-year-old client visits the gynecologist. After examining the client, the HCP suspects cervical cancer. The nurse reviews the client’s history for risk factors for this disease. Which finding would not be a risk factor for cervical cancer?