The perinatal nurse teaches the student nurse about conditions that may require immediate newborn assessment during the transitional period. These conditions include:
Select all answers that apply.
A) a heart rate of 112 beats per minute.
B) an infant born at 36 +2 weeks gestation.
C) a respiratory rate of 62 breaths per minute.
D) the presence of nasal flaring.
A, B, D
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The nurse is caring for a patient who had a stapedectomy. What is the priority nursing action to maintain safety?
a. Have patient cough and deep breathe. b. Put the side rails up. c. Check for drainage. d. Test hearing capability.
Components of a receptive context for EBP include what? (Select all that apply.)
a. Strong leadership b. Clear strategic vision c. Effective data-capture systems d. Organizational skills e. Good managerial relations f. Visionary staff in key positions g. Ability to prioritize h. Climate conducive to experimentation and risk taking
The nurse asks you to apply a dry, non-sterile dressing. The dressing change causes pain and discomfort. What should you do?
a. Ask the person to take slow, deep breaths. b. Distract the person during the dressing change. c. Ask the nurse when a pain-relief drug was given. Wait 30 minutes to begin. d. Tell the person that the procedure will not hurt.
An older adult male pt calls the clinic because he has "not passed any urine all day long". what is the nurse's best response?
a. try drinking several large glasses of water and waiting a few more hours b. if you develop flank pain or fever, then you should probably come in c. You could have an obstruction, so you should come in to be checked out d. I am sorry, but I really can't comment about your problems over the phone