When an infant is delivered, it is important for the nurse to determine the gestational age of the baby within:
a. 5 to 10 minutes.
b. 1 to 2 hours.
c. 2 to 8 hours.
d. 12 to 24 hours.
C
The gestational age tests are done within 2 to 8 hours of age.
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Which manifestations should the nurse investigate as indicating possible pneumonia in an older patient? Standard Text: Select all that apply
1. Fever 2. Dyspnea 3. Tachycardia 4. Behavior changes 5. Substernal chest pain
The client responds to a question with unrelated information during the nursing assessment. Which should the nurse implement first?
1. Ask for more detailed responses. 2. Provide more detailed commands. 3. Speak directly in front of the client. 4. Complete a neurological assessment.
A patient with neurogenic shock following a spinal cord injury is to receive lactated Ringer's solution 500 mL over 30 minutes. When setting the IV pump to deliver the IV fluid, the nurse will set the rate at how many mL/hour?
What will be an ideal response?
The nurse is conducting a holistic assessment of a patient with alcoholism. What are the important questions to ask?
1. "How is drinking alcohol viewed by your culture?" 2. "Have you ever attended Alcoholic Anonymous meetings?" 3. "Did you see your parents drinking alcohol when you were growing up?" 4. "Have you been in alcohol rehabilitation before now?" 5. "What blood relatives of yours are addicted to alcohol?"