The nurse recognizes that a sign indicative of hypoglycemia in a premature infant is
a. blotchy skin c. jitteriness
b. hypertonia d. a soft, weak cry
C
Jitteriness, irritability, cyanosis, seizures, and apnea are common manifestations of hypoglycemia. Blotchy skin, hypertonia, and soft, weak cry are not manifestations of hypoglycemia.
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An elderly man who has come to a health promotion clinic offering education related to understanding and filling out advance directives tells the nurse
that he does not want to complete an advance directive because he does not want anyone controlling his finances. The nurse teaches the man that: A) Advance directives are not legal documents, so he has nothing to worry about. B) Advance directives are limited only to health care instructions and directives. C) His finances cannot be managed without an advance directive. D) Advance directives are implemented when you become incapacitated, then you use a living will to allow the state to manage your money.
Your patient takes tranylcypromine for depression. Which of the following is most likely to indicate dietary restrictions have not been followed?
A. Hypertensive crisis B. Syncope C. Muscle spasms D. Increased depression
A young male patient has been brought to the emergency department with a knife wound to the abdomen. When the patient's hands are removed from the area of the wound to facilitate assessment, the patient's intestine protrudes from the wound
How should the nurse respond to this development? A) Cover the protruding viscera with saline-soaked, sterile gauze. B) Don sterile gloves and attempt to push the organ back inside the wound. C) Irrigate the protruding intestine with sterile water or normal saline. D) Apply a pressure dressing to the wound.
When a client who had a stroke gives up all hope of any amount of recovery, the nurse solicits a visit from a former stroke client who has physical limitations but has since gone back to work and, through adaptation, can function independently at home
This nurse has fulfilled which role, according to Parse? 1. Mobilizing transcendence 2. Synchronizing rhythm 3. Illuminating meaning 4. True presence