During the assessment of a newborn hours after birth, a nurse determines which finding as abnormal?
a. Capillary refill time of less than 1 second
b. Apical pulse felt at the second intercostal space
c. Splitting of heart sounds
d. Cyanosis of the hands and feet
ANS: B
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The charge nurse on a busy inpatient psychiatric unit is concerned because a nurse and a nursing assistant have called out for the shift. Upon calling the nursing office, the charge nurse is informed that there is no one to replace them
In addition, the emergency call button at the nurse's station is malfunctioning. This charge nurse sees this as a violation of: a. Legal rights b. The patient bill of rights c. Care provider rights d. Ethical principles
The emergency department nurse is administering IV lidocaine to a patient. What adverse effect of lidocaine therapy should the nurse assess for?
A) Dysphagia B) Dizziness C) Excessive bruising D) Tinnitus
In which client should the hepatitis B vaccine be withheld?
1. A client with anemia 2. A client with arthritis 3. A client with hypertension 4. A client with an active infection
The nurse has completed medication education for a client who is prescribed testosterone. The nurse evaluates that learning has been effective when the client makes which statements?
Standard Text: Select all that apply. 1. "I will weigh myself twice weekly and report any sudden weight gain." 2. "I need to have my serum cholesterol levels checked frequently." 3. "I need check my blood pressure weekly while on this medication." 4. "I don't need to use birth control while taking this medication." 5. "My blood glucose may go up while on this medication."