A nurse is assessing for factors influencing family form. Which areas will the nurse include in the assessment? (Select all that apply.)

Presence of illness

Rise of homosexual families

Homelessness

Changing economic status

Domestic Violence

Answer and Explanation

Correct Answer : A,B,C,D,E

A. Presence of illness can shift family roles and dependencies.
B. Rise of homosexual families reflects evolving social norms and diversity in family structures.
C. Homelessness affects the stability and function of family units.
D. Changing economic status can strain or reshape family responsibilities and dynamics.
E. Domestic violence impacts family safety, structure, and emotional well-being.

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Correct Answer is A

Explanation

A. Newborn reflexes (Moro, rooting, grasp) are crucial indicators of neurological function. Absence may suggest brain injury or CNS dysfunction and requires urgent evaluation.
B. Acrocyanosis (blue hands/feet) is normal in newborns for the first 24–48 hours due to immature circulation.
C. Molding (misshapen head from birth canal pressure) is normal and resolves within days.
D. A soft, slightly protuberant abdomen is typical in newborns due to weak abdominal muscles.

A. Vitamin K B. Potassium chloride C. Protamine sulfate D. Vitamin E

Correct Answer is A

Explanation

A. Vitamin K is the antidote for warfarin overdose, as it helps to reverse the anticoagulant effects of warfarin.
B. Potassium chloride is used to treat hypokalemia, not to reverse anticoagulation.
C. Protamine sulfate is the antidote for heparin, not warfarin.
D. Vitamin E does not have a role in reversing warfarin toxicity.

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A nurse is assessing for factors influencing family form. Which areas will the nurse include in the assessment? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preforming a newborn assessment. Which assessment finding will cause the nurse to intervene immediately?

Correct Answer is A

Explanation

A patient who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?

Correct Answer is A

Explanation

A nurse is working with a patient. When the nurse asks about family members, the patient states that it includes my spouse, children, and aunt and uncle. How will the nurse describe this type of family?

A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?

What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?

A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the nurse using?

While recovering from a severe illness, a hospitalized patient wants to change a living will, which was signed 9 months ago. Which response by the nurse is most appropriate?

A nurse wants to find all the pertinent patient information in one record, regardless of the number of times the patient entered the health care system. Which record should the nurse access?

An elderly patient has bad hip surgery and will be receiving heparin, 4000 units subcutaneously every 12 hours. The heparin is available in vials of 5000 units/mL. Calculate how much heparin the nurse will administer for this dose.

External barriers to change include lack of facilities, materials, and social supports. Internal barriers are lack of knowledge, insufficient skills, and undefined short- and long-term goals.( Select all that Apply.)