The nurse is preparing to count the respirations of an infant. The nurse will count the respirations for:
a. 15 seconds, watching the chest c. 1 minute, watching the chest
b. 30 seconds, watching the abdomen d. 1 minute, watching the abdomen
D
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A Incorrect. The nurse will not count the respirations for 15 seconds, watching the chest of an infant.
B Incorrect. The nurse will not count the respirations for 30 seconds, watching the abdomen, but count for one minute.
C Incorrect. The nurse will not count the respirations for 1 minute, watching the chest in an infant.
D Correct. The nurse counts the number of respirations per minute early in the assessment then the child is most cooperative and not crying, remembering for infants and toddlers to observe the expansion of the abdomen.
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A client has an ingrown toenail. About what self-management measure does the nurse teach the client?
a. Long-term antibiotic use b. Shoe padding c. Toenail trimming d. Warm moist soaks
The nurse is applying a hydrocolloid dressing to a client's wound, which measures 2 inches by 3 inches. The nurse would cut the dressing to which dimensions?
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The nurse is assessing a client of color for jaundice. In which location would the nurse assess for discoloration? Select all that apply
A) The sclera B) The gums C) The hands D) The nails E) The hard palate F) The conjunctiva