What indications would lead the nurse to suspect sepsis in a newborn?
1. Respiratory distress syndrome developing 48 hours after birth
2. Temperature of 97.0°F 2 hours after warming the infant from 97.4°F
3. Irritability and flushing of the skin at 8 hours of age
4. Bradycardia and tachypnea developing when the infant is 36 hours old
2
Explanation: 2. Temperature instability is often seen with sepsis. Fever is rare in a newborn.
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During a functional assessment of an older person's home environment, which statement or question by the nurse is most appropriate regarding common environmental hazards?
a. "These low toilet seats are safe because they are nearer to the ground in case of falls." b. "Do you have a relative or friend who can help to install grab bars in your shower?" c. "These small rugs are ideal for preventing you from slipping on the hard floor." d. "It would be safer to keep the lighting low in this room to avoid glare in your eyes."
A patient, age 28, is treated at the clinic with an injection of long-acting penicillin for a streptococcal throat infection. Her history reveals that she has received penicillin before with no allergic responses
When the penicillin injection is administered, which information should be given to the patient by the nurse? a. Because she has taken penicillin before without problems, she can safely take it now. b. She must wait in the clinic area for 20 minutes before she is discharged. c. She would have immediate symptoms if she had developed an allergy to penicillin. d. She should monitor for fever and skin rash typical of serum sickness after taking penicillin.
Sex during pregnancy, especially during the last trimester, creates a significant risk for harm to the fetus
Indicate whether the statement is true or false
A mother of a child in the terminal stages of AIDS tells the nurse that her child wants to celebrate his birthday early because he won't be here on his birthday. Which is the best response the nurse can make to this mother?
a. "What does your husband think about giving the party for the child?" b. "How does the family feel about your giving in to the child?" c. "Ill children can be very manipulative.". d. "Is this the first time he has spoken about death?"