The newborn of a mother with type 2 diabetes mellitus is experiencing tremors. What nursing action has the highest priority?
1. Obtain a bilirubin level.
2. Obtain a blood calcium level.
3. Measure the newborn's temperature.
4. Place a pulse oximeter on the newborn.
2
Explanation:
1. Bilirubin level also might be necessary to monitor, but will not cause tremors in the newborn.
2. Tremors are the classic sign for hypocalcemia. Clients with diabetes who deliver newborns tend to have decreased serum magnesium levels at term. This could cause secondary hypoparathyroidism in the infant.
3. Body temperature also might be necessary to monitor, but will not cause tremors in the newborn.
4. Oxygen saturation also might be necessary to monitor, but will not cause tremors in the newborn.
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A nurse is teaching a nursing student how to care for patients in the perioperative period. Which statement by the student about preventing postoperative infections indicates a need for further teaching?
a. "Applying hexachlorophene to the opera-tive site preoperatively will help prevent infection." b. "It is important to ensure that all surgical instruments have been sterilized appro-priately." c. "Operating room personnel should all perform a presurgical scrub with antimi-crobial soap." d. "Preventing contamination by microor-ganisms in the environment is the most important perioperative measure."
A multiple-site study may be an advantage because it enhances generalizability, but it may be problematic if there is/are:
A) A simple hypothesis with only two variables B) Limited financial resources C) Multiple researchers D) Many sites located in a limited geographic area
An RN team leader has one LPN and one medical assistant assigned to the unit. Which patient would be most appropriate to assign to the LPN?
a. Right lower lobectomy, one day postoperatively, whose temperature went from 37.1°C to 38.3°C during the last shift b. 72-year-old right hip replacement, 2 days postoperatively, complaining of leg and chest pain c. 48-year-old female patient who had a laparoscopic appendectomy 8 hours ago: urine output 165 mL, Hgb 7 g/dL, and Hct 21% d. Post cerebral vascular accident 1 week ago who had a Dobhoff feeding tube inserted and is now on continuous feedings at 45 mL/hr
The method of paying an organization whereby the third-party payer establishes the amount of money that will be paid for the delivery of a particular service before offering the services to the client is called:
1. Retrospective reimbursement 2. Prospective reimbursement 3. Fee-for-service 4. Capitation