When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8 degrees F, an apical pulse of 114 beats/minute, and a respiratory rate of 60 breaths/minute. Which nursing diagnosis takes highest priority?
A) Hypothermia related to heat loss during birthing process
B) Impaired parenting related to addition of new family member
C) Risk for deficient fluid volume related to insensible fluid loss
D) Risk for infection related to transition to extrauterine environment
A
You might also like to view...
A systematic and individualized method of planning and providing care is best known as:
A. Assessment. B. Nursing process. C. Diagnosis. D. Implementation.
A patient is scheduled for a liver biopsy. What should the nurse include in this patient's preprocedure teaching?
1. Abstain from all food and fluids for at least 8 hours prior to the procedure. 2. Consume a low-fat diet 1–3 days prior to the procedure. 3. Complete blood tests prior to the procedure. 4. Restrict activity for 4–6 weeks after the procedure.
When determining a target population for education about alcohol use, which age group would the community health nurse most likely plan to address?
A) 18- to 25-year-olds B) 30- to 40-year-olds C) 45- to 55-year-olds D) 65 years of age and older
Cosyntropin is a synthetic peptide that:
A. corresponds to an inactive segment of ACTH. B. has a broader range of uses than ACTH. C. provides the same therapeutic activity as ACTH. D. has more allergenic potential than ACTH.