Which infant should be seen immediately by a health care provider?

a. A 1-week-old infant with a diaper rash
b. A 1-month-old infant with an axillary temperature of 99.8° F (37.7° C)
c. A 3-week-old breast-fed infant who has had two loose stools
d. A 2-week-old infant with nasal congestion and respirations of 64 breaths/min


ANS: D
Normal respiratory function is a high priority in the newborn. Any situation in which respiratory function is impaired should be assessed immediately by a physician. Diaper rashes are a normal variant. A temperature of 99.8° F (37.7° C) is still within normal limits. Breast-fed infants have loose stools, so this is a normal finding.

Nursing

You might also like to view...

The nursing staff of a medical–surgical unit would like to work four 10-hour shifts each week. For which reason would the unit nurse manager probably deny this request?

1. There is no overlap of staff. 2. There are not enough nurses working during a 24 hour period of time. 3. This would create discord and confusion with other health care departments. 4. This staffing pattern would not be cost-efficient.

Nursing

During a routine physical examination of a client's lungs, the nurse notes a small, fleshy bump on the client's upper chest. What should the nurse suspect as the cause of this finding on the client's skin?

A) Squamous cell carcinoma B) Basal cell carcinoma C) Actinic keratosis D) Malignant melanoma

Nursing

The home care nurse is visiting a 6-month-old infant with bronchopulmonary dysplasia (BPD). The nurse assesses the child for which signs of overhydration? (Select all that apply.)

a. Edema b. Serum sodium of 140 mEq/L c. Urine specific gravity of 1.008 d. Weight gain of 1 lb in 1 week

Nursing

A nurse has identified a risk nursing diagnosis for a client. When writing this diagnosis, the nurse would write a statement consisting of how many parts?

A) One B) Two C) Three D) Four

Nursing