A nurse is caring for a newborn receiving 100% oxygen for resuscitation through an oxygen mask. What potential complication is of most concern for in this client?
A) Thermal burns
B) Decreased pulse
C) Dry and irritated nares
D) Vision difficulties
D
Feedback:
The potential complication of administering oxygen in high concentration over many days is retinal damage in newborns. Oxygen therapy is used to treat thermal burns and does not cause thermal burns. The nurse should check for increased pulse, not decreased pulse, during oxygen therapy. Nares may become dry and irritated when the client is receiving oxygen with the nasal cannula, not through a mask.
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A patient with stage 2 Alzheimer's disease calls the police saying, "An intruder is in my home." Police investigate and discover the patient misinterpreted a reflection in the mirror as an intruder. This phenomenon can be assessed as:
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