Which of the following are normal vital signs for a newborn 1 hour after birth?
A. HR 100 beats/min, RR 40 breaths/min
B. HR 110 beats/min, RR 20 breaths/min
C. HR 140 beats/min, RR 50 breaths/min
D. HR 170 beats/min, RR 70 breaths/min
C
Normal values for a newborn are heart rate (HR) 110 to 160 beats/min and respiratory rate 30 to 60 breaths/min.
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After teaching a client who is scheduled for magnetic resonance imaging (MRI), the nurse assesses the client's understanding. Which client statement indicates a correct understanding of the teaching?
a. "I must increase my fluids because of the dye used for the MRI." b. "My urine will be radioactive so I should not share a bathroom." c. "I can return to my usual activities immediately after the MRI." d. "My gag reflex will be tested before I can eat or drink anything."
A licensed practical/vocational nurse (LPN/LVN) is assisting in developing a nursing care plan for a patient in shock. Which nursing diagnosis should be included?
a. Increased cardiac output, related to hypertension b. Increased cardiac output, related to hypo-tension c. Decreased cardiac output, related to hy-povolemia d. Decreased cardiac output, related to hypertension
A nurse in a long term care facility is concerned that a 94-year-old resident with dementia is los-ing weight
Upon assessment, the nurse notes that the resident, who is able to feed herself independently, consumes less than 50% of each of her meal trays. Which of the following strategies can the nurse utilize to improve this resident's intake? (Select all that apply.) a. Assign a nursing assistant to feed the res-ident. b. Assign a nursing assistant to sit with the resident as the resident eats. c. Serve the resident finger foods. d. Serve the resident one dish at a time. e. Alter the dining ambience to reduce dis-tractions.
You are the nurse working with a 4-year-old child who was injured in an automobile accident in which the child's mother was killed
From your knowledge of children and how they view death, you will suspect that this child will view the death of the mother from which of the following ideas of death? a. universal c. nonfunctional b. temporary d. causal