The nurse assesses that a newborn's skin has a ruddy appearance and the peripheral pulses are decreased. The nurse suspects polycythemia. Which of the following lab reports might indicate that the newborn has polycythemia?
1. Central venous hematocrit level greater than 65%
2. Bilirubin level of 6 mg/dl
3. Venous hemoglobin level lower than 12 g/dl
4. Blood glucose level of 44 mg/dl
1
Rationale 1: A venous hematocrit level greater than 65% indicates polycythemia.
Rationale 2: This bilirubin level is within normal limits.
Rationale 3: A venous hemoglobin level lower than 12 g/dl indicates anemia.
Rationale 4: This blood glucose level is within normal limits.
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Which is a leadership role in fiscal planning?
A) Coordinating the monitoring aspects of budget control B) Accurately assessing personnel needs using agreed-on standards or an established patient classification system C) Assessing the internal and external environment of the organization in forecasting to identify driving forces and barriers to fiscal planning D) Being visionary in identifying short- and long-term unit fiscal needs
The nurse is educating the parents of a 4-year-old boy with a Wilms tumor who is about to have chemotherapy prior to surgery. Which of the following statements by the parents would indicate that the nurse should review the instructions?
A) "He will take his antibiotic twice a day, every day." B) "We will check his temperature orally." C) "We will keep him away from crowds." D) "He must be clean and his teeth brushed."
The nurse reviews a prescription for the client who needs continuous bladder irrigation after prostate surgery. Which should the nurse implement to facilitate bladder irrigation?
1. Label irrigation solution with for GU irrigation only. 2. Change irrigation tubing at least once every 12 hours. 3. Infuse irrigation solution at 100 ml/hr for clear urine. 4. Ensure that client has a triple-lumen urinary catheter.
The nurse is caring for a client in the transition phase of labor and notes that the fetal monitor tracing shows average short-term and long-term variability with a baseline of 142 beats per minute
What actions should the nurse take in this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Provide caring labor support. 2. Administer oxygen via face mask. 3. Change the client's position. 4. Speed up the client's intravenous. 5. Reassure the client and her partner that she is doing fine.