A nurse monitors all newborns in the NICU for hypoglycemia. Which manifestations could indicate hypoglycemia in one of the babies? (Select all that apply.)

A.
Apneic episodes
B.
None (asymptomatic)
C.
Eye rolling
D.
Lethargy
E.
Palmar sweating


ANS: A, B, C, D
Apneic episodes, eye rolling, and lethargy are among the manifestations of hypoglycemia. Hypoglycemic infants can also be asymptomatic. Palmar sweating is indicative of pain.

Nursing

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Fred, a fit and healthy 44-year-old, was working outside one warm summer afternoon. When he returned home by the end of the day, his lower back felt sore and he felt nauseated. His wife made him dinner, but he was not hungry and chose to go to bed instead

Fred's symptoms progressed, and soon he was rolling on the bed with excruciating pain. He said his back hurt as well as his stomach and groin area. The pain would ease off only to return a short while later, and when it did, Fred would begin to sweat and run to the bathroom to vomit. His wife became concerned and started the car. When his symptoms abated, she helped him into the car and rushed him to the hospital. At the hospital, an abdominal radiograph showed the presence of renal calculi in Fred's right ureter (urolithiasis). What is the mechanism of stone formation in the kidney? What is the role of citrate in the kidneys? Why would the administration of calcium supplements be useful for a patient with calcium oxalate stones? Hydronephrosis can be a complication of renal calculi. What is hydronephrosis? How does back pressure occur in a kidney, and what physiological mechanism is responsible for nephron damage when back pressure is present?

Nursing

Mrs Tagaloa has expressed concern at being asked the same questions about her identity and impending surgery by a number of different staff members. a. Why are these multiple checks undertaken? b. Describe each stage of the World Health Organization (WHO) Surgical Safety Checklist (SSC) and identify when they are required to be performed. c. How do you address Mrs Tagaloa's concern?

Mrs Lanuola Tagaloa is a 54-year-old Samoan woman who has lived in Australia for the past 15 years. She was admitted on the day of surgery for an elective vaginal hysterectomy with anterior/posterior colporrhaphy. She has a history of asthma and has type 2 diabetes mellitus (diagnosed at 42 years of age). Mrs Tagaloa has a history of grand multipara. She has a BMI of 30+ and falls into the obese category, but appears otherwise fit and well. She lives at home with her extended family and is responsible for the care of her mother and school-aged children. The admissions nurse informs you that Mrs Tagaloa is very softly spoken and did not maintain eye contact. She was accompanied by a female family member and overheard to be conversing in her native language. What will be an ideal response?

Nursing

During the examination of a client's perineum, the nurse notes reddened areas on the labia and white curd-like vaginal discharge. Which condition should the nurse suspect?

A. Contact dermatitis. B. Venereal warts. C. Herpes infection. D. Yeast infection.

Nursing

During the cardiac cycle, which structure directly delivers action potential to the ventricular myocardium?

a. Sinoatrial (SA) node b. Atrioventricular (AV) node c. Purkinje fibers d. Bundle branches

Nursing