During the first feeding, the nurse observes that the neonate becomes cyanotic after gagging on mucus. Which of the following should the nurse do first?
a) Start mouth-to-mouth resuscitation.
b) Contact the neonatal resuscitation team.
c) Raise the neonate's head and pat the back gently.
d) Clear the neonate's airway with suction or gravity.
Answer: d) Clear the neonate's airway with suction or gravity.
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A 16-year-old teenage boy who is bullied at school has recently started staying in his room and not associating with his friends. His grades are dropping and he refuses to eat dinner with his family
What actions should his parents be advised to take? a. Accept this as a normal part of adolescent behavior and do not interfere. b. Take the door off his room and scold him for his behavior. c. Realize that his peer group will handle this as he needs to break away from family. d. Set limits with him in a respectful manner and assist him to problem solve.
The patient is admitted to the emergency department, having suffered frostbite to the hands, which are grayish-white in color. When attempting to warm the hands, the nurse should:
a. have the patient rub the hands together briskly. b. wipe the hands vigorously with a warm towel. c. run tepid water over the hands to warm slowly. d. wrap the hands in hot, moist towels.
The title licensed practical nurse (LPN) is used in all states except California and
1. Texas. 2. Maine. 3. Alaska. 4. Arizona.
Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
a. Thirst b. Irritability c. Apprehension d. Confusion and somnolence