Which newborn would the nurse recognize as being most at risk for developing respira-tory distress syndrome?
a. A 35-week-gestation female baby born vaginally 72 hours after the rupture of membranes
b. A 36-week-gestation male baby born by cesarean delivery to a mother with insu-lin-dependent diabetes
c. A 35-week-gestation male baby born vaginally to a mother addicted to heroin
d. A 35-week-gestation female baby born vaginally to a mother who has pregnan-cy-induced hypertension
B
Infants of mothers with diabetes have delayed production of surfactant, thus placing the in-fant at risk for respiratory distress syndrome.
This neonate is at risk for infection due to the prolonged rupture of membranes.
This neonate is at risk for withdrawal.
This neonate is at risk for hypoxia.
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The nurse reviews the care plan for a patient with cancer of the liver and learns the plan of care focuses on palliative measures. Noting that over the last 3 weeks the patient's condition has continued to deteriorate, the nurse recognizes that:
A) Death will occur in the next week. B) The patient is in the trajectory phase of chronic illness. C) The patient is in the downward phase of chronic illness and should be reassessed. D) The patient should immediately be admitted into the hospital.
The nurse is preparing a 5-year-old for an x-ray. Which of the following would be the best approach to prepare the child for the procedure?
A) "We are going to take some x-rays of your body." B) "We need to look inside at some of your organs." C) "X-rays are not painful, you won't feel a thing." D) "We are going to use a big camera to take pictures inside your body."
A confused patient has been restrained because of combativeness and hyperactivity. What skin assessment may occur as a result of the restraints?
a. Lentigines b. Senile purpura c. Senile angiomas d. Seborrheic keratoses
A patient who is being treated with topical mafenide acetate for third-degree burns is demonstrating facial and neck edema. What does the nurse realize is the most likely reason?
1. The patient is developing hypersensitivity to the medication. 2. The patient is reacting positively to the medication. 3. The patient needs an increase in dosage of the medication. 4. The patient is not responding to the medication.