A newborn in the nursery has a temperature of 97.4°F. What may happen first if the infant continues to be cold stressed?
A) Seizure
B) Respiratory distress
C) Cardiovascular distress
D) Hypoglycemia
Ans: B
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The nurse who works in a facility that is changing from a source oriented system of documentation to the FACT system of documentation will discover the main difference between the two is
1. The FACT system duplicates information 2. The source oriented system duplicates information 3. The FACT system documents progress in DAE format 4. The FACT system is similar to CBE and is designed to eliminate redundant and irrelevant data
The nursing student going to an interview this afternoon plans to use two instructors and two professional nurses with whom he's worked as references. Before the interview, the student nurse will:
1. Inform the four references their names will be used today. 2. Ask for permission to use these four people as references. 3. Find two more people who can be used for references for a total of six. 4. Request the four references write a letter and get it to him before the interview.
The nurse is caring for a client on a ventilator when the high-pressure alarm sounds. What actions are most appropriate? (Select all that apply.)
a. Assess the tubing for kinks. b. Assess whether the tubing has become disconnected. c. Determine the need for suctioning. d. Call the health care provider. e. Call the Rapid Response Team. f. Auscultate the client's lungs.
The nurse delegates the unlicensed nursing assistant (UAP) to ambulate an older adult client. What information must the nurse communicate to the UAP when delegating this task?
a. "The client has skid-proof socks, so there is no need to use your gait belt." b. "Teach the client how to use her walker while you are ambulating up the hall." c. "Sit the client on the edge of the bed with legs dangling before ambulating." d. "Ask the client if she needs pain medica-tion before you walk her in the hall."