When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, and expiratory grunting. What do these findings indicate?
a. Respiratory distress syndrome
b. Postmaturity syndrome
c. Apneic episode
d. Cold stress
ANS: A
Insufficient amounts of surfactant predispose the preterm infant to respiratory distress. The signs manifested by the infant are indicative of respiratory distress.
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A nurse is assessing a newborn who is jittery, diaphoretic, and hypothermic, and has poor feeding. What laboratory value would the nurse correlate with this condition?
A. Bilirubin: 5 mg/dL B. Blood glucose: 32 mg/dL C. Hematocrit: 50% D. White blood cell count: 25,000/mm3
A patient is receiving oxygen therapy for pneumonia. What should the nurse assess for to determine if the patient is hypoxic?
A) Restlessness B) Cold hands C) Confusion D) Noncompliance
Which of the following best describes the goal of participatory action research?
a. Analytical epidemiological findings b. Careful descriptive research studies c. Experimental studies using both experimental and control groups d. Social change resulting from stakeholders' strategies
The nurse is having difficulty assessing the pain of a mentally impaired patient who has an approximate functional level of a 4-year-old child. Which method should the nurse use to determine the patient's pain level?
a. Use the Faces scale. b. Ask "are you hurting?" c. Observe the patient's facial expression. d. Explain to the patient how to use a 0-to-10 pain scale, with 0 being no pain, and 10 being the worst possible pain.