At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 beats/minute, and the infant is crying vigorously with the limbs flexed. The infant's trunk is pink, but the hands and feet are blue
The Apgar score for this infant is: a. 7.
b. 8.
c. 9.
d. 10.
C
The Apgar score is 9 because 1 point is deducted from the total score of 10 for the infant's blue hands and feet.
You might also like to view...
A 90-year-old patient tells the nurse that he cannot remember the names of the medications he is taking or for what reason he is taking them. An appropriate response from the nurse would be:
a. "Can you tell me what they look like?" b. "Don't worry about it. You are only taking two medications." c. "How long have you been taking each of the pills?" d. "Would you have a family member bring in your medications?"
While assessing a client's cranial nerve function, the nurse notes the client does not have an equal smile and is unable to raise both eyebrows. The nurse would document this finding as being an impairment of which cranial nerve?
a. Trigeminal b. Facial c. Vestibulocochlear d. Vagus
A philosophy of nursing is developed early in one's career, and each nurse brings a personal set of beliefs about people, the world, health, and nursing to work each day
Which type of philosophy of nursing would a nurse bring to the bedside if the nurse were interested in solving the client's health-related problems? A) Idealistic philosophy B) Pragmatic philosophy C) Existentialist philosophy D) Realistic philosophy
A patient had minor surgery and is now ambulating frequently. The patient has been perspiring profusely, is apprehensive, lethargic, and confused, and is complaining of a headache and muscle weakness
These findings are most consistent with which electrolyte disturbance? a. hypokalemia c. hyponatremia b. hyperkalemia d. hypernatremia