To determine a newborn's Apgar score, the nurse would assess:
A) chest circumference, Babinski reflex, motor irritability, respiratory rate, and temperature
B) heart rate, respiratory effort, muscle tone, response to irritating stimulus, and skin color
C) passage of meconium stool, number of plantar creases, grasp reflex, oxygen saturation, and nasal flaring
D) head to heel length, weight, head circumference, Moro reflex, and level of alertness
B
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The nurse is attempting to get the patient to sign the operative consent. When asked if the health care provider explained the procedure to the patient, the patient replies "Not much." The nurse should:
a. develop a comprehensive teaching plan related to the surgical procedure. b. ask the patient what information the doctor has explained about the surgery. c. contact the surgeon and ask for further clarification of information given to patient. d. focus on postoperative exercises and home-care following surgery.
The family of one of your patients who is comatose asks you why the physician is recommending the removal of the patient's NG tube and the insertion of a gastrostomy tube. What would be your best answer?
A) It is more comfortable for the patient. B) It is less permanent. C) Regurgitation and aspiration are less likely. D) It is easier to feed the patient.
A nurse understands that a central nervous system (CNS) stimulant would be indicated for a patient with which of the following health alterations?
a. Depression b. Opiate overdose c. Poor appetite d. Narcolepsy
To assess the child with severe burns for adequate perfusion, the nurse monitors
a. Distal pulses b. Skin turgor c. Urine output d. Mucous membranes