The nurse is caring for a neonate who is suspected of having sepsis. Which of the following assessment findings would be most indicative of sepsis?
A) Rash on face
B) Edematous neck
C) Hypothermia
D) Coughing
C
Response:
Hypothermia is a sign of sepsis in neonates. A rash on the face is a sign of scarlet fever. Edematous neck is a sign of diphtheria. Paroxysmal coughing is a sign of pertussis.
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Which action by a psychiatric nurse best supports the right of patients to be treated with dignity and respect?
a. Consistently addresses patients by title and surname b. Strongly encourages a patient to participate in the unit milieu c. Discusses a patient's condition with the health care provider in the elevator d. Informs a treatment team that a patient is too drowsy to participate in care planning
A 78-year-old client experiences a gran mal seizure. The nurse notes the time at the onset of the seizure. The seizure continues, exceeding 10 minutes. The nurse notifies the physician
Which of the following interventions can the nurse likely anticipate being ordered? A) Administer 0.9% sodium chloride IV. B) Administer an intravenous bolus of 10% dextrose. C) Administer an intramuscular injection of diazepam. D) Administer 5% dextrose solution IV.
Which statement by the nurse indicates correct understanding of the purpose of a pedigree?
a. "It is used for genetic counseling of the client by the geneticist." b. "It is used to show family history of a trait over at least three generations." c. "It is used to show a specific pattern of inheritance of a trait." d. "It is used to identify penetrance of a gene in a family."
The nurse is preparing to insert an intravenous needle in a 1-year-old child for a one-time administration of fluids due to dehydration. Which of the following needles would the nurse likely select?
A) A 22-gauge intravenous catheter B) A 19-gauge winged infusion set C) A 23-gauge winged infusion set D) An 18-gauge intravenous catheter