The nurse is caring for an infant in the NICU. While taking vital signs, the nurse finds that the baby's heart rate is 195 . The nurse calls the physician, knowing that the normal heart rate should be:
a. 60 to 100 beats per minute.
b. 100 to 160 beats per minute.
c. 90 to 140 beats per minute.
d. 220 beats per minute or higher.
B
The infant's heart rate at birth ranges from 100 to 160 beats per minute at rest. By adolescence, the heart rate varies between 60 and 100 beats per minute and remains so throughout adulthood. By age 2, the pulse rate slows to 90 to 140 beats per minute.
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The nurse is learning that biofeedback is useful for a variety of health disorders, EXCEPT:
a. migraine headaches. b. temporomandibular joint syndrome. c. high blood pressure. d. tonsillitis.
A client has returned to the nursing unit after esophagogastroduodenoscopy (EGD). Which action by the nurse takes priority?
a. Keep the client on strict bedrest for 8 hours. b. Delegate taking vital signs to the nursing assistant. c. Increase the IV rate to flush the kidneys. d. Assess the client's gag reflex.
"Client is wheezing and experiencing some dyspnea on exertion." This is an example of:
A. The S in SOAP documentation B. FOCUS documentation C. The P of PIE D. The R in DAR documentation
A nurse palpates the descending aorta and feels a strong, bounding pulse. The nurse reports the findings to the physician because the results suggest
a. decreased cardiac output. c. an aneurysm. b. increased cardiac output. d. aortic insufficiency.