Assessment of a newly born infant 1 minute after delivery reveals the infant is crying vigorously on light tapping of the foot. Her heart rate is 130 beats/min and some flexion of the extremities is note. Ventilations are regular at approximately 40 breaths/min. Her body is pink and extremities are blue. You would assign an Apgar score of:
A) 7
B) 8
C) 9
D) 10
Ans: B) 8
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A 10-month-old infant is admitted to the hospital with a medical diagnosis of dehydration. A nursing assessment reveals decreased vocalization, general lack of interest in the surroundings, and non-engaging behaviors
Which of these nursing actions takes priority? 1. Allowing the infant to rest quietly and undisturbed in the crib 2. Monitoring the mother's affect 3. Monitoring the infant's response to vocalization when the nurse enters the room 4. Holding and cuddling the infant frequently throughout the day
A nurse must be careful when administering opioid antagonists to clients taking which of the following? Select all that apply
A) Codeine for cough B) Zolpidem for sleep C) Oxycodone for analgesia D) Naproxen for analgesia E) Diphenoxylate for diarrhea
What recommendations should a nurse make to a visitor of a patient who has an internal radiation implant? (Select all that apply.)
a. Avoid visitation if you are pregnant. b. Take off all metals, such as your watch and belt. c. Limit your visitation time. d. Wear a protective lead apron. e. Stay at least 6 feet away from bedside.
The nurse assesses that the 42-year-old patient who still lives with her parents and is dependent on them for decisions about her life is lacking in the mental health characteristic of:
1. reality orientation. 2. autonomous behavior. 3. spontaneity. 4. ethical decision making.