To ensure that an infant's head is in a neutral position during spinal immobilization, you should:
A) provide slight extension of his or her head.
B) place padding under the infant's shoulders.
C) place a towel roll behind the infant's neck.
D) use towel rolls for lateral head stabilization.
Answer: B) place padding under the infant's shoulders.
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A patient who is receiving an immune suppressant has been admitted to the unit. What would be a priority action by the nurse?
A) Monitor nutritional status. B) Provide patient teaching regarding the drug. C) Protect the patient from exposure to infection. D) Provide support and comfort measures in relation to adverse effects of the drug.
A high-risk labor client progresses from preeclampsia to eclampsia. Aggressive management is instituted, and the fetus is delivered via cesarean section
Which finding in the immediate postoperative period indicates that the client is at risk of developing HELLP syndrome? a. Platelet count of 50,000/mL b. Liver enzyme levels within normal range c. Negative for edema d. No evidence of nausea or vomiting
The researchers developing classifications for interventions are also committed to developing a classification of which of the following?
A) Diagnoses B) Outcomes C) Goals D) Data clusters
A nurse recalls the mast cell, a major activator of inflammation, initiates the inflammatory re-sponse through the process of:
a. chemotaxis. b. endocytosis. c. degranulation. d. opsonization.