The nurse understands that wounds in infants and children heal more rapidly because
1. It is more fragile
2. Their skin has not been exposed to sun
3. Their skin is thinner
4. Due to rapid cell division
4
Rationale: Infant skin is more fragile and susceptible to injury, but this is not why it heals more rapidly
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A nursing instructor asks a student to identify the early signs and symptoms of hypovolemic shock. Which response by the student would indicate to the instructor that further teaching is needed? (Select all that apply.)
a. Tachycardia d. Skin cool to touch b. Tachypnea e. Cyanosis with cold, clammy skin c. Hypotension f. Urinary output less than 30 mL per hour
A woman is admitted in an advanced stage of labor and is experiencing strong contractions. The nurse needs to collect information on the woman's social and demographic history
However, the nurse recognizes that it is not appropriate to conduct an in-depth health history at this time. Which assessment questions would be priority at this time? (Select all that apply.) a. Is there a language barrier? b. Does she avoid eye contact? c. How much rest has she had lately? d. Is her partner employed full time? e. Is the woman able to ask for what she needs? f. Does she talk freely with the nurse and her partner?
The nurse is using the New Ballard Score to assess the gestational age of a newborn delivered 4 hours ago. The infant's gestational age is 33 weeks based on early ultrasound and last menstrual period
The nurse expects the infant to exhibit which of the following? 1. Full sole creases, nails extending beyond the fingertips, scarf sign showing the elbow beyond the midline 2. Testes located in the upper scrotum, rugae covering the scrotum, vernix covering the entire body 3. Ear cartilage folded over, lanugo present over much of the body, slow recoil time 4. 1 cm breast bud, peeling skin and veins not visible, rapid recoil of legs and arms to extension
The patient has new-onset restlessness and confusion. Pulse rate is elevated, as is respiratory rate. Oxygen saturation is 94%
The nurse ignores the pulse oximeter reading and calls the health care provider for orders because the pulse oximetry reading is inaccurate. Which factors can cause inaccurate pulse oximetry readings? (Select all that apply.) a. O2 saturations (SaO2) > 70% b. Carbon monoxide inhalation c. Hypothermic fingers d. Intravascular dyes e. Nail polish f. Jaundice