A pregnant woman is admitted to the emergency department. After a toxicology screen, it is determined that the patient is an active heroin addict. The patient is in active labor and gives birth to a girl
A nurse who is caring for the newborn should anticipate which clinical manifesta-tion? a. Passivity and flat affect
b. Diarrhea and salivation
c. A shrill cry and irritability
d. Continuous restless sleep
C
The newborn of an active heroin addict experiences a withdrawal syndrome that includes shrill crying, vomiting, and extreme irritability.
The newborn will not experience passivity or a flat affect as a result of being born to an active heroin addict.
The newborn will not experience diarrhea or salivation as a result of being born to an active he-roin addict.
The newborn will not experience continuous restless sleep as a result of being born to an active heroin addict.
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To detect a "thrill" upon cardiac assessment, the nurse will perform
A) inspection of the chest. B) palpation of the chest. C) percussion of the lung fields. D) auscultation of the heart sounds.
It is extremely challenging to survive on the streets. Among other behaviors, what might a homeless young person see as important survival skill(s)?
A. Beg, manipulate, and lie to obtain resources. B. Play up to health care providers. C. Try to keep a list of all social programs, community services, or entitlements for which he or she may be eligible. D. Try to look and act middle class.
People are afraid of being attacked, robbed, beaten, or killed by a stranger. What would be an accurate response by the nurse if such fear is voiced?
A. All Americans must band together to protect our families and our neighborhoods. B. As the media clearly report, violence in our country is on the increase. C. Most violence is done by family and friends, and violence is decreasing in the United States. D. You are right to be concerned. There are many actions you can take to protect yourself.
Immediately after moving the oral endotracheal airway to the other side of the client's mouth, the low pressure alarm sounds. What should the nurse do first?
1. Providing oral care 2. Suctioning the airway 3. Checking for correct tube placement 4. Checking tube cuff inflation