A nurse preceptor asks a new graduate what should be included in a nurse's periodic shift assessments of the newborn. The new graduate would be correct in responding which of the following? (Select all that apply.)
a. Vital signs d. Body weight
b. Elimination details e. Feeding and hydra-tion status
c. Respiratory and car-diac function f. Hip movements for DDH
A, B, C, D, E, F
The new graduate would be correct in responding vital signs, body weight, elimination details, feeding and hydration status, respiratory and cardiac function, and hip movements for DDH.
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A patient who is severely brain damaged has decerebrate posturing with extended extremities. The nurse understands that damage most likely occurred in which area of the brain?
a. Cerebellum b. Cerebrum c. Brain stem d. Hypothalamus
The nurse is reviewing a client's laboratory studies. The extracellular fluid contains:(Select all that apply) Standard Text: Select all that apply
1. Sodium 2. Chloride 3. Magnesium 4. Protein 5. Sulfate
The nurse is having difficulty inserting a urinary catheter in an older female patient. Which position should the nurse use to help facilitate the insertion of the catheter?
1. Side-lying lifting up the buttock 2. Supine with the bed flat, legs bent and apart 3. Supine with the HOB elevated at 30 degrees 4. Supine with the head of bed (HOB) elevated at 90 degrees
Which of the following is a client responsibility in the nurse–client relationship?
A) Remain nonjudgmental. B) Comply with the therapeutic regimen. C) Function as an advocate. D) Perform prescribed skill safely.