A woman in labor receives meperidine [Demerol] for pain. The nurse caring for the infant will observe the infant closely for:
a. congenital anomalies.
b. excessive crying and sneezing.
c. respiratory depression.
d. tremors and hyperreflexia.
C
Use of morphine or other opioids during delivery can cause respiratory depression in the neonate, because the drug crosses the placenta. Infants should be monitored for respiratory depression and receive naloxone if needed. Opioids given during delivery do not contribute to birth defects in the newborn. Excessive crying and sneezing and tremors and hyperreflexia are signs of neonatal opioid dependence, which occurs with long-term opioid use by the mother during pregnancy and not with short-term use of these drugs during labor.
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The nurse anticipates that an older patient with right-sided heart failure would exhibit which symptoms? Standard Text: Select all that apply
1. Pallor 2. Edema 3. Wheezing 4. Orthopnea 5. Neck vein distention
The charge nurse uses a whiteboard located at the nurse's station to write the nurses' patient assignments and the patients' diagnoses. This is a violation of which of the following?
a. Americans with Disabilities Act (ADA) b. Patient Self-Determination Act (PSDA) c. Health Insurance Portability and Accountability Act (HIPAA) d. Health Emergency Medical Treatment and Active Labor Act (EMTALA)
Which action is reflective of the leadership role necessary for a successful planned change to occur?
A) Demonstrates flexibility in goal setting B) Recognizing the need for a planned change C) Identifying the resources that are available to support a change D) Support the staff during the implementation of a planned change
Nurses can prevent evaporative heat loss in the newborn by:
a. Drying the baby after birth and wrapping the baby in a dry blanket. b. Keeping the baby out of drafts and away from air conditioners. c. Placing the baby away from the outside wall and the windows. d. Warming the stethoscope and the nurse's hands before touching the baby.