The newborn nursery nurse is alert for indications of disability in newborns, which include: (Select all that apply.)
a. Failure to suck
b. Feeding difficulties
c. Bluish coloration of hands and feet
d. Listlessness
e. Hypotonic muscles
A, B, D, E
Bluish coloration of a newborn's hands and feet is not an indication of disability.
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A nursing intervention for an unstable infant who has supraventricular tachycardia is: (Select all that apply.)
1. Application of ice to the face. 2. Administration of intravenous adenosine (Adenocard). 3. Administration of intravenous amiodarone (Cardarone). 4. Preparation for cardioversion.
The nurse is caring for a patient who is to begin receiving external radiation for a malignant tumor of the neck. While providing patient education, what potential adverse effects should the nurse discuss with the patient?
A) Impaired nutritional status B) Cognitive changes C) Diarrhea D) Alopecia
Which action is initiated when a child has been scratched by a rabid animal?
a. No intervention unless the child becomes symptomatic b. Administration of immune globulin around the wound c. Administration of rabies vaccine on days 3, 7, 14, and 28 d. Administration of both immune globulin and vaccine as soon as possible after exposure
During the abdominal assessment of an elderly patient, the nurse palpates a mass in the midabdomen. What should the nurse do next?
1. Percuss the mass. 2. Ask the patient to cough. 3. Get the physician. 4. Auscultate the mass.