NCSBN Test bank 16-30 Questions & Answers 100% Correct(SCORED A+)

A nurse is teaching a mother who will breast-feed for the first time. Which of these approaches is a priority? Give the mother privacy for the initial feeding Assist the mother to position the newborn at the breast Give the mother several illustrated pamphlets Show the mother films on the physiology of lactation - ANSWERAssist the mother to position the newborn at the breast All of the approaches should be helpful in teaching. However, the priority is to place the infant to the breast as soon after birth as possible to establish contact and allow the newborn to begin to suck. The nurse in a long-term care facility is evaluating the plan of care for an older adult client with advanced dementia. The client has had several falls out of bed. Which initial intervention should the nurse implement? Have the client sleep in a recliner at the nurse's station with a tray table across their lap Put the bed in the lowest position with a thick pad or mat on the floor next to the bed Correct! Place the client in a bed with an enclosure mesh tent attached to the frame Position all side rails of the bed up and move the bed close to the door - ANSWERFalls out of bed are a common occurrence in the long-term care setting. Although it is nearly impossible to eliminate all falls, the nurse can implement interventions to reduce the risk for injury related to a fall. The goal is to start with the least invasive and restrictive intervention to preserve the client's rights, regardless of their level of cognitive function. 'Low' beds and 'landing' mats to soften the fall should the client roll out of bed are commonly used in long-term care settings and represent an appropriate, initial intervention to implement for this client. The other interventions are much more restrictive and should be used only after less restrictive interventions have been attempted.