A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn, which of the following would the nurse expect to find? (Select all that apply.)
A) Pigeon chest
B) Prolonged tachypnea
C) Intercostal retractions
D) High blood pH level
E) Coarse crackles on auscultation
B, C, E
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If the nurse records the results to the Hirschberg test, the nurse has:
a. Tested the patellar reflex. b. Assessed for appendicitis. c. Tested the corneal light reflex. d. Assessed for thrombophlebitis.
You are caring for a patient who has just been told that his illness is progressing and nothing more can be done for him. After the physician leaves, the patient asks you to stay with him for a while
The patient becomes tearful and tries several times to say something, but cannot get the words out. What would be an appropriate response for you to make at this time? A) "Can I give you some advice?" B) "Do you need more time to think about this?" C) "Is there anything you want to say?" D) "I have cared for lots of patients in your position. It will get easier."
A client is dying of Alzheimer disease and is being cared for in an inpatient setting for his last days. In anticipation of the client's imminent death, assessments and interventions have been limited to those necessary to maintain comfort
However, the nurse has taken a set of vital signs in response to signs of multiple organ failure. What vital signs are consistent with multiple organ failure? Select all that apply. A) Hypotension B) Hypothermia C) Bradypnea D) A weak, thready pulse E) Increased oxygen saturation
A client of Italian heritage has only lived in the United States although both parents were born in Italy. What should the nurse expect when caring for this client?
1. The client has maintained a life totally consistent with Italian values and beliefs. 2. The client is completely acculturated to the American way of life. 3. The client's beliefs and values are probably a mix of the Italian beliefs and values of the parents and the values and beliefs of America. 4. The client knows how to speak Italian and English.