During the latest behavioral assessment the nurse documents that a newborn is sleeping lightly. What behavior did the nurse observe in the newborn? (Select all that apply.)
A) Fussy
B) Eyes closed
C) Slight activity
D) Heavy eyelids
E) Sucking on fist
Ans: B, C, E
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You are a patient care manager in an assisted living facility and just heard a weather alert on a resident's television. The prediction is that a tornado will pass through the area very soon. What would be your best course of action?
A) Let each staff member decide what is best for their assigned residents. B) Assemble your staff to outline a plan of action for the residents. C) Tell your staff members that you are instituting the Tornado Emergency Protocol. D) Inform your local ambulance service of the potential need for hospital transport.
Hemodialysis may be contraindicated in a renal client who has
A) low cardiac output. B) diabetes. C) acid-base imbalances. D) hyperkalemia.
A child has a large ventricular septal defect (VSD) with left-to-right shunting. Which information about VSDs does the faculty member explain to the nursing student? (Select all that apply.)
A. The child will have obvious cyanosis. B. A harsh, pansystolic murmur is heard. C. This is the most common congenital heart defect. D. Some VSDs can close spontaneously. E. Transcatheter closure is common.
A patient with a history of GI ulcers reports feeling new onset burning, gnawing stomach pain. What is the nurse's best action?
a. Assess the patient's abdomen for the presence of active bowel sounds. b. Administer the already ordered as-needed dose of liquid antacid. c. Offer the patient food to buffer excess stomach acid. d. Notify the prescriber immediately.