A newborn with central cyanosis, adequate respirations, and a heart rate of 120 beats/min should initially be treated with:
A) continued observation only.
B) high-flow oxygen via mask.
C) free-flow oxygen at 5 L/min.
D) positive-pressure ventilation.
Answer: C) free-flow oxygen at 5 L/min.
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When a patient comes to an outpatient appointment, a nurse smells alcohol. The nurse should:
a. explore the patient's reasons for drinking today. b. arrange admission to an inpatient psychiatric unit. c. coordinate emergency admission to a detoxification unit. d. tell the patient, "We cannot see you today because you have been drinking.".
The nurse observes the arm of a patient who was given the Mantoux skin test for tuberculosis. There is induration of 3 mm. How should the nurse document the results?
a. Negative b. Questionable c. Positive for exposure d. Positive for TB
A client is evaluated after suffering severe burns to the torso and upper extremities. The nurse notes edema at the burned areas. Which best describes the underlying cause for this manifestation?
A) Decreased osmotic pressure in the burned tissue B) Reduced vascular permeability at the site of the burned area C) Increased fluids in the extracellular compartment D) Inability of the damaged capillaries to maintain fluids in the cell walls
A nurse has noticed that an older adult's hearing aid frequently produces a shrill, high-pitched noise. What possible solution should the nurse suggest to this problem with feedback?
A) Encourage the client to make sure the hearing aid is fully inserted in the ear canal. B) Encourage the client to change the batteries in the hearing aids frequently. C) Encourage the client to ensure that cerumen does not accumulate in his ears. D) Encourage the client to clean his hearing aids frequently.