A nurse is monitoring a neonate just moments after birth. To properly monitor respirations, the nurse should observe:
a. The rate of respirations
b. The character of respirations
c. The color and general behavior
d. All of the above
D
The nurse should carefully observe all of these to safely monitor respirations.
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The nurse is providing care for a patient who is in shock after massive blood loss from a workplace injury
The nurse recognizes that many of the findings from the most recent assessment are due to compensatory mechanisms. What is a compensatory mechanism to increase cardiac output during hypovolemic states? A) Third spacing of fluid B) Dysrhythmias C) Tachycardia D) Gastric hypermotility
You are assessing the abdomen of a patient you have just admitted to your unit with a suspected GI disease. You notice several lesions on the patient's abdomen. Why would it be of particular importance to document these lesions?
A) It would not be of particular importance to document these lesions B) Because skin problems often cause GI disorders C) Because GI diseases often produce skin changes D) Because these lesions may make the physician look at a disease that is not GI in origin
A client takes a corticosteroid for control of a chronic health problem. Which nutrient is most affected by this medication?
a. Iron b. Calcium c. Potassium d. Vitamin A
When auscultating the heart of a patient with mitral stenosis, the nurse is most likely to hear which sounds?
A) Diastolic murmur and opening snap. B) Holosystolic murmur C) Systolic click murmur D) Loud, harsh holosystolic murmur