What are risk factors for sudden infant death syndrome? (Select all that apply.)
a. Postterm
b. Female gender
c. Low Apgar scores
d. Recent viral illness
e. Native American infants
ANS: C, D, E
Infant risk factors for sudden infant death syndrome include those with low Apgar scores and recent viral illness and Native American infants. Preterm, not postterm, birth and male, not female, gender are other risk factors.
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The nurse is assessing the heart rate of a healthy 13-month-old child. The nurse knows to auscultate which of the following sites to obtain an accurate assessment?
A) Radial pulse B) Brachial pulse C) Apical pulse at the third or fourth intercostal space D) Apical pulse at the fourth or fifth intercostal space at the midclavicular line
A nurse has been reported to the board of nursing for performing skills that are outside her scope of practice. The nurse should expect
1. A lawsuit by the institution for malpractice. 2. A hearing by the board of nursing to determine whether the charges are true. 3. Immediate revocation of her nursing license. 4. Requirement to complete a minimum of 10 continuing education units (CEUs).
The nurse hears a murmur between the S1 and S2 heart sounds at the patient's left fifth inter-costal space and midclavicular line. How will the nurse record this information?
a. Systolic murmur heard at mitral area b. Systolic murmur heard at Erb's point c. Diastolic murmur heard at aortic area d. Diastolic murmur heard at the point of maximal impulse
An RN realizes that she inadvertently gave a patient who was NPO for surgery his otherwise normally scheduled PO medications. Which action would she take if she were exhibiting professional accountability?
a. Report the error to the charge nurse and follow up with the patient's surgeon. b. Report the incident to the charge nurse and blame the co-worker who interrupted her medication pass. c. Keep the incident to herself so that the patient's surgery will not be canceled. d. Report the incident the next day that she works.