The nurse is checking a newborn's 1-minute Apgar score based on the following assessment
The heart rate is 160 beats/min; he has positive respiratory effort with a vigorous cry; his muscle tone is active and well-flexed; he has a strong gag reflex and cries with stimulus to the soles of his feet; his body is pink, with his hands and feet cyanotic. What is the newborn's 1-minute Apgar score? 1. 7
2. 9
3. 8
4. 10
2
Rationale: The newborn has a score of 9 because his heart rate, respiratory effort, muscle tone, and reflex irritability all have a score of 2, with color having a score of 1 because of the acrocy-anosis.
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The history of nursing is most strongly associated with which other factor?
1. The history of women 2. The development of medical technology 3. The growth of religion across the frontier 4. The decline of the family unit
A client is talking to the nurse and begins to cry when he mentions the death of his daughter 20 years earlier. The most appropriate initial response by the nurse is
A) touching the client's arm and listening in silence. B) explaining to the client that crying is an effective means to express emotions. C) asking the client to describe the details of the death so the nurse can understand more completely. D) asking the client if he thinks he could be suffering from depression.
Which type of insulin would the nurse administer for an intravenous bolus and continuous infusion to regulate a patient's blood glucose levels?
1. Lantus 2. Regular 3. Lente 4. NPH
A client is taking glucocorticoids. Which is a significant finding that a nurse should
monitor when caring for this client? A) Increase in blood volume B) Change in the body's rate of metabolism C) Low sugar level in the blood D) Small rise in temperature