During the assessment of a newborn within hours after birth, a nurse determines which finding as abnormal?
a. Capillary refill time of less than 1 second
b. Apical pulse felt at the second intercostal space
c. Splitting of heart sounds
d. Cyanosis of the hands and feet
ANS: B
You might also like to view...
Type: FIB Knowing about the similarities and differences among cultures is called: Standard Text:
What will be an ideal response?
A client is having a temporary tracheostomy placed during surgery for oral cancer. What action by the nurse is best to relieve anxiety?
a. Agree on a postoperative communication method. b. Explain that staff will answer the call light promptly. c. Give the client a Magic Slate to write on postoperatively. d. Reassure the client that you will take care of all of his or her needs.
Which definition most accurately describes privacy?
a. The means to ensure health record privacy and confidentiality b. Accuracy and completeness of health information c. The rights of individuals to control access to their person or information about themselves d. An act that has the potential to cause harm to an informational asset
A client who smokes one pack of cigarettes daily has a positive pregnancy test. The nurse will explain that smoking during pregnancy increases the risk of which condition?
a. Congenital anomalies b. Death before or after birth c. Neonatal hypoglycemia d. Neonatal withdrawal syndrome