While making rounds in the nursery, the nurse sees a 6-hour-old newborn gagging and turning bluish. Which action would the nurse do first?
A) Alert the physician stat and turn the newborn to his right side.
B) Administer oxygen via facial mask by positive pressure.
C) Lower the newborn's head to stimulate crying.
D) Aspirate the oral and nasal pharynx with bulb syringe.
D
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During routine assessment of a critically ill patient, the nurse is able to indent the skin on the dorsal surface of the foot 4 mm, and the skin rebounds in a few seconds. What degree or type of edema is present?
A) Nonpitting edema B) 2+ pitting edema C) 3+ pitting edema D) 4+ pitting edema
Compared to the term infant, the preterm infant has
a. Few blood vessels visible though the skin b. More subcutaneous fat c. Well-developed flexor muscles d. Greater surface area in proportion to weight
While being assessed, a patient tells the nurse that she has many stresses in her life. Of these stresses, which of the following would be considered an external stressor?
1. Rigid rules on the job 2. The need to please everyone 3. Workaholic 4. Use of caffeine
Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very drowsy and has been vomiting. He is also running a fever
You suspect that Pete's problem is caused by: A) Anxiety over his new surroundings after being admitted to the hospital for treatment B) Side effects of lithium therapy he is receiving C) A hospital-acquired viral infection D) Food poisoning