Which assessments are included in the Apgar scoring system? (Select all that apply.)
a. Heart rate
b. Muscle tone
c. Blood pressure
d. Blood glucose
e. Reflex irritability
ANS: A, B, E
The Apgar score is based on observation of heart rate, respiratory effort, muscle tone, reflex irritability, and color. Blood pressure and blood glucose are not part of the Apgar scoring system.
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After performing a vaginal exam, the nurse determines that a client is in the second stage of labor. The situation that best confirms the nurse's judgment is when the woman's
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A nurse is assigned to care for a client diagnosed with asthma who has just been admitted to the health care facility. The nurse determines the client's priorities for care using which of the following?
A) Assessment skills B) Nursing books C) Client's records D) Supervisor's advice
Which of these represents the best temperature for a patient's room?
A. 55°F. B. 68°F. C. 72°F. D. 85°F.