The patient is dangling at the bedside and states, "Oh, my stomach is tearing open." Which of the following actions should the nurse immediately take when dehiscence occurs?

Correct Answer: B

Rationale: When dehiscence, which is the separation of the layers of a surgical incision, occurs in a patient, it is important to have the patient lie down. This position will help decrease intra-abdominal pressure and reduce the risk of further complications. Having the patient sit upright in a chair can increase intra-abdominal pressure, worsening the dehiscence. Slowing IV fluids may be necessary to prevent fluid overload in certain situations, but it is not the immediate action required when dehiscence occurs. Obtain a sterile suture set may eventually be needed, but the priority in this situation is to stabilize the patient by having them lie down.

Correct Answer: D

Rationale: These milestones are typically achieved around 9 months of age.

Correct Answer: C

Rationale: Total parenteral nutrition (TPN) is a method of providing nutrition intravenously to individuals who are unable to obtain adequate nutrition through oral or enteral routes. The components of a TPN solution typically include dextrose (a source of carbohydrates for energy), amino acids (building blocks of proteins), electrolytes (such as sodium, potassium, and magnesium to maintain proper balance), vitamins, and trace elements (such as zinc and selenium). Trace minerals are essential for various metabolic functions in the body, and their inclusion in TPN solutions is crucial to prevent deficiencies. Therefore, trace minerals are likely to be present in TPN solutions, making them an essential component, unlike the other options provided in the question.

Correct Answer: C

Rationale: Reduced milk production is not directly associated with maternal diabetes.

Correct Answer: A

Rationale: Corticosteroids, like prednisone, are commonly associated with several adverse drug reactions. Increased weight is often observed due to fluid retention and increased appetite caused by corticosteroids. Hypertension can result from the sodium and water retention triggered by these medications. Insomnia is a common side effect of corticosteroids due to their stimulant effect on the central nervous system. It is important for the nurse to monitor the client for these adverse reactions and report any concerning symptoms to the healthcare provider for appropriate management.