When the nursery nurse auscultates a newborn's heart rate at 138 beats per minute, the nurse should
A) Document the normal finding
B) Notify the pediatrician
C) Assess for respiratory distress
D) Assess for rhythm
Ans: A
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The nurse discovers that the client suddenly has become short of breath. Which of the following assessment findings would increase the nurse's suspicion of a spontaneous pneumothorax of the left lung? Standard Text: Select all that apply
1. Diminished breath sounds in the bases bilaterally, with rhonchi in the left lower lobe 2. Trachea is at midline. 3. Subcutaneous emphysema palpable on the left side of the chest 4. Absent breath sounds on the left side of the chest 5. Tachycardia and tachypnea
A client with disseminated intravascular coagulation (DIC) is anxious and has decreased oxygen saturation. The nursing diagnosis appropriate for the client at this time would be:
1. Ineffective Tissue Perfusion. 2. Impaired Gas Exchange. 3. Anxiety. 4. Pain.
The Magnet Hospital Recognition Program was created to achieve three major goals. Which of the following is considered a goal?
a. Decrease and attempt to abolish the nursing shortage b. "Pay for performance" or higher wages for higher quality work c. Identify excellence in the delivery of nursing services to patients d. Drive down the soaring cost of health care in the United States
A patient has a bacterial infection, but the causative organism is not known. Which type of antibacterial drug will most likely be prescribed?
a. Narrow-spectrum b. Limited-spectrum c. Extended-spectrum d. Broad-spectrum