The nurse weighs a neonate just after birth. The weight of the baby was 2475 grams. The neonate would be classified as:
a. Normal birth weight
b. Low birth weight
c. Very low birth weight
d. Extremely low birth weight
B
Low birth weight is classified as under 2500 grams. Very low birth weight is less than 1500 grams. Extremely low birth weight is less than 1000 grams.
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The nurse is assessing a woman who is pregnant at 27 weeks' gestation. The patient is concerned about the recent emergence of varicose veins on the backs of her calves. What is the nurse's best response?
A) Facilitate a referral to a vascular surgeon. B) Assess the patient's ankle-brachial index (ABI) and perform Doppler ultrasound testing. C) Encourage the patient to increase her activity level. D) Teach the patient that circulatory changes during pregnancy frequently cause varicose veins.
The nurse completes yearly training regarding the use of restraints. Which situation should the nurse categorize as a restraint?
1. A safety belt applied across the client's waist when sitting in a geri chair with a quick release button demonstrated to the client 2. The use of the top side rail to provide something for the client to hold on to when getting out of bed 3. A safety belt around the infant when placing the child in a swing 4. The use of all four side rails on the bed after administering preoperative sedation
When inserting a rectal thermometer, the nurse encounters resistance. The nurse should:
a. apply mild pressure to advance. b. ask the patient to take deep breaths. c. remove the thermometer immediately. d. remove the thermometer and reinsert it gently.
A nurse is caring for a client in stage 1 kidney failure. Which nutrition modification should the nurse anticipate?
A) CHO control B) Sodium reduction C) Potassium supplementation D) Phosphorus control