The nurse is caring for a newborn with a congenital heart disorder. Which should the nurse monitor the client for?
A. Poor feeding.
B. Hypothermia.
C. Fussiness.
D. Hypoglycemia.
Answer: A
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The nurse assesses a client's temperature to be 99.8 °F. Which nursing diagnosis would be appropriate for the client at this time?
A) Hyperthermia B) Anxiety C) Risk for Imbalanced Body Temperature D) Deficient Fluid Volume
A 56-year-old female is being admitted for complications related to chemotherapy for metastatic breast cancer. The client is thrombocytopenic. What nursing precautions are essential for this client? Select all that apply
1. Use soft oral swabs 2. Avoid injections 3. Use electric razors 4. Avoid rectal suppositories 5. Placed in a private room
The nurse is caring for a postpartum client with a diagnosis of deep vein thrombosis who is receiving a continuous intravenous infusion of heparin sodium. Review of which laboratory result is the most important by the nurse?
1. Platelet count 2. Prothrombin time (PT) 3. International normalized ratio (INR) 4. Activated partial thromboplastin time (aPTT)
Which of the following is characteristic of the cognitive changes in a preschooler?
a. The ability to think in a logical manner about the here and now b. The ability to think abstractly and deal effectively with hypothetical problems c. The inability to assume the view of another person and to use symbols to represent others d. The ability to classify objects by size or color