A nurse explains to new parents that their newborn has developed respiratory distress syndrome (RDS). The nurse bases this assessment on all of the following data except:
1. Grunting respirations.
2. Nasal flaring.
3. Respiratory rate of 40 during sleep.
4. Chest retractions.
3
Rationale 1: Grunting with respirations is a characteristic of RDS.
Rationale 2: Nasal flaring is a characteristic of RDS.
Rationale 3: A respiratory rate of 40 during sleep is normal.
Rationale 4: Significant chest retractions are characteristic of RDS.
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A 30-year-old woman has recently moved to the United States with her husband. They are living with the woman's sister until they can get a home of their own. When company arrives to visit with the woman's sister, the woman feels suddenly shy and retreats
to the back bedroom to hide until the company leaves. She explains that her reaction to guests is simply because she does not know how to speak "perfect English." This woman could be experiencing: a. Culture shock. b. Cultural taboos. c. Cultural unfamiliarity. d. Culture disorientation.
The nurse is screening a 6-year-old child for mental ability. Which of the following tests would the nurse use to assess intelligence?
A) Denver Articulation Screening B) Denver PRQ C) Goodenough-Harris Drawing Test D) Parents' Evaluation of Developmental Status (PEDS)
The nurse is discussing nutrition with a client who is an athlete who was recently disqualified from a running race
The athlete stated, "I don't know how I got disqualified from the race!" After the nurse assesses the client's nutrition and race preparation habits, which of the following reasons may be most likely? 1. Increased carbohydrate intake prior to the race 2. Use of a dietary supplement with an unlisted banned substance as an ingredient 3. Dehydration 4. Low iron levels
The client gave birth to a 7 pound, 14 ounce female 30 minutes ago. The placenta has not yet delivered. Manual removal of the placenta is planned. What should the nurse prepare to do?
1. Start an IV of lactated Ringer's. 2. Apply anti-embolism stockings. 3. Bottle-feed the infant. 4. Send the placenta to pathology.