The nurse is caring for a 6-month-old infant who has just undergone surgery. The infant's facial muscles are tight with a furrowed brow and the infant's respirations are shallow and irregular
The infant is mildly fussy and softly crying without muscular rigidity in the arms and legs. What score will the nurse give to the infant on the Neonatal Infant Pain Scale?
a.
2
b.
3
c.
4
d.
5
ANS: C
Tight muscles and furrowed brow = 1 point. Softly crying = 1 point. Shallow, irregular respirations = 1 point. Relaxed arms and legs = 0 points. Mild fussiness = 1 point. Total = 4 points
You might also like to view...
The nurse is working with a family of a 5-year-old child with the chronic condition of spina bifida in the lumbar area. The nurse partners with the family to plan goals of care
An appropriate goal for this child and family would be for the parents to: 1. Refuse a wheelchair for the child to motivate the child to learn to walk. 2. Verbalize their frustrations to the nurse. 3. Accept the school district's individualized transition plan (ITP). 4. Alternately assume care for the child 24 hours a day, seven days a week.
A nurse is alert to potentially problematic situations in a patient and is using evidence-based knowledge. Which concept for a critical thinker is the nurse using?
a. Maturity b. Analyticity c. Systematicity d. Inquisitiveness
Which of the following drug classes is associated with significant differences in metabolism based on gender?
1. Beta blockers 2. Antibiotics 3. Serotonin reuptake inhibitors 4. Angiotensin-converting-enzyme (ACE) inhibitors
When compared to the general population, the seroprevalence of the human immunodefi-ciency virus (HIV) infection in the homeless is estimated to be:
1. The same 2. At least double 3. 2.5 times more 4. 3 times more