A nurse should be most concerned about which type cyanosis in a newborn infant?
1. Cyanosis of the hands
2. Cyanosis of the feet
3. Periorbital cyanosis
4. Circumoral cyanosis
4
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1. Cyanosis of the hands is normal for a transitioning newborn.
2. Cyanosis of the feet is normal for a transitioning newborn.
3. While abnormal in a newborn, it may indicate a transitioning newborn.
4. Circumoral cyanosis of the mouth and mucus membranes indicates central cyanosis.
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A new nurse manager has conducted a series of interviews, but did not use an interview guide. Why would the manager's director be dismayed that no interview guide was used?
1. Each organization has standardized interview questions that must be used. 2. The director has selected questions to ask the interviewee. 3. A list of standardized questions allows for reliability in comparing candidates. 4. The director was not included in the interview process.
A patient who is to receive a third round of combination chemotherapy today reports that mouth sores were present for 4 days within a week of receiving the last round of chemotherapy. What is your best action?
a. Hold today's dose of chemotherapy and notify the prescriber immediately. b. Ask the patient whether sores were also present after the first round of chemotherapy. c. Reassure the patient that this is an expected chemotherapy side effect and no action is needed. d. Administer the chemotherapy as prescribed and call the prescriber to determine whether preventive drugs are needed.
The nurse has to complete a one-time catheterized urine specimen to determine residual urine volume in an older adult. Based on this information, what would be the anticipated amount of residual urine in the older adult?
A) 25–50 mL B) 50–75 mL C) 50–100 mL D) 100–125 mL
The client has an order for 30 units of U-500 insulin. The nurse is using a U-100 syringe and will draw up and administer:
1. 5 units 2. 6 units 3. 10 units 4. 30 units