What nursing interventions should be implemented for a child who had a cleft palate repair? (Select all that apply) A Provide distraction B Feed using a metal spoon C Rinse out the mouth after eating D Release elbow restraints every 2 hours Place E place in the prone position after feeding with the head of bed flat 3 newborn was admitted to the nursery with a complete bilateral cleft lip and palate.

The healthcare provider explained the plan of care to the parents. However, the mother refuses to see or hold the baby. The initial therapeutic approach by the nurse would include:

A Resale what the healthcare provider has discussed b Encourage the parents to express their feelings C Recognize the parents may never accept their infant’s disfigurement D Discussing the best way to inform the relatives of the baby’s condition

Make a Nursing Care plan and Drug study based on the given scenario Case Scenario:  Mrs. Beltran, a 30-year-old woman, gravida 1, para 1 who gave birth at term, birth weight 3.5 kg. Mrs. Beltran and her son, 5 days of age, were seen in the lactation clinic for sore nipples. She experienced breast fullness during the third post-partum day, and by the fifth day they are painfully engorged.

Following engorgement, her nipples began to crack.

Nipples now “seem to hurt all the time”. She reports that severe nipple pain occurs with latch-on.

Mrs. Beltran appeared to be tired and down hearted. She reports that her baby was crying a lot, did not sleep well and was not gaining weight well. Her baby starts well, but soon stop, apparently because he was not getting enough.

He would then cry and be reluctant to take the breast again. Her vital signs were: BP: 130/90 mmHg, PR: 95 bpm, RR: 20 CPM and Temp: 37.8 C.

Maternal breast examination revealed moderately engorged breasts. Nipples are everted, approximately 1 cm in size with a linear fissure diagonally from 2 to 8 o’clock on the left side and 10 to 4 o’clock on the right.

She was given ibuprofen to reduce the discomfort and pain.

NURSING CARE PLAN FORMAT

DRUG STUDY FORMAT

Describe the main ideas of Leininger’s Theory of Culture Care Diversity and Universality (should include the assumptions under which the theory operates)

• Identify the main concepts/components of the Leininger’s Theory of Culture Care Diversity and Universality
• What was going on in the profession of nursing or in American society that may have influenced the theory?
• What values, theories, evidence, and/or existing knowledge did the theorist cite as support for the theory?
• What motivated Madeleine Leininger to write the theory?
• How does the theory address the metaparadigm concepts of person, nursing environment, and health?
• How do you implement the components or concepts of this theory in pediatric nursing?  Give an example.

The nurse is caring for a client on the first day of postoperative for a descending aortic aneurysm repair. Which assessment finding should the nurse prioritize reporting to the healthcare provider?

a.Serum potassium 4.8

b.Urine output 30ml/hr

c. Electrocardiogram ST Segment elevation

d.BP 130/80

21. A client who is admitted to the intensive care unit is manifesting signs of an acute Addisonian crisis. The nurse is observing the clients, a hemodynamic monitor, as the client becomes tachycardic and hypotensive. Which intervention is most important for the nurse to implement?

a.Access invasive lines using sterile gloves and sterile transport dressing

b.Administer all dietary supplements with meals

c. Perform passive exercises and ROM

d.Notify HCP of cardiac output less the 3.9

24. When assessing an adult client on a mechanical ventilator, the nurse notes that the client becomes restless has diminished to absent breath sounds on the right side and the right side of the clients chest is not expanding equally to the left side. Based on these assessment findings, which analysis should the nurse formulate?

a.The endotracheal tube has slipped into the esophagus

b.A tension pneumothorax has occurred.

c. The ventilator is malfunctioning

d.The client developed pneumonia

25. An adult client is transported via ambulance to the emergency department following a motorvehicle accident . On arrival the client complains of severe upper back pain. The vital signs are: Temp 98.6, HR 145 bpm, resp 26 and BP 70/40. Which change in assessment findings indicate the clients condition is deteriorating?

a.Oxygen sat 90%

b.Glascow coma score 15

c. HR 40 bpm

d.Resp 34 breaths/min

27. Following a CABG, an older client with COPD is being maintained on mechanical ventilation. Which action should the nurse implement to prevent ventilator-associated pneumonia?

a.Maintain the head of the bed at 45 degree elevation

b.Instill sterile saline in endotracheal tube before suctioning

c. Schedule q4 hour bronchodilator nebulizer treatment

d.Set FIO2 to deliver 100% oxygen concentration

28. The nurse assess a male client postoperatively who has an arterial line in the radial artery. Assessment findings include pallor, paresthesia, and slow capillary refill in the client’s right-hand fingers. What action should the nurse plan?

a.Elevate the clients right arm

b.Perform allen test

c. Flush the line with heparinized saline

d.Notify HCP

Note:- Please give short explanation/rational why the answer is correct

Describe and define culture in social determinants of health. 2. Provide a brief overview of a vulnerable population. 3. Outline the relationship of SDOH in con of health and wellness of the vulnerable population. For instance, how can gender Inequalities influence/impact the health an wellness of women, or children who identif as Indigenous? 4. What strategies can nurses implement, autonomously or as part of a healthcare te