The nurse is preparing to listen to the apical heart rate of a newborn. The nurse performs the procedure and notes that the heart rate is normal if which of the following is noted?
1. A heart rate of 100 beats/min
2. A heart rate of 140 beats/min
3. A heart rate of 180 beats/min
4. A heart rate of 190 beats/min
2
Rationale: The normal heart rate in a newborn is 120 to 160 beats/min. The other options are incorrect.
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A parent brings her 9 month old baby in for a well-child checkup. Which of the following would the nurse identify as an indicator of positive resolution of the central psychological task of this age. The child:
a. Does not cry when the parent allows the nurse to hold the child. b. Shows mistrust when strangers approach. c. Becomes willful when disciplined. d. Does not play with other children.
The client is unable to rest even after medication. The nurse decides to give the client a backrub. Which of the following strokes should the nurse use when finishing the backrub?
A. Long firm stroking movements down the back B. Light strokes while moving up the back in a circular motion C. Kneading movements toward the sacrum D. Circular motion upward from buttocks to shoulders
When the nurse in charge of the code is ready to defibrillate a client, the nurse assisting with the defibrillation would
a. assess for unresponsiveness. b. continue to perform CPR. c. prepare to administer lidocaine. d. stand away from the bed.
what is the most likely pathologic process?
A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent for several years. He normally takes over-the-counter medications to ease the pain, but this time they haven't worked as well and he still has discomfort. He recently wallpapered the entire second floor in his house, which caused him great discomfort. The pain resolved with rest. He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck. Based on this description, A) Infectious B) Neoplastic C) Degenerative D) Traumatic