The nurse notices that a 5-month-old patient is having difficulty breathing, with nasal flaring, audible grunting, and sternal and intercostal retractions. The infant's respiratory rate is rapid, and the infant is restless and obtunded
What intervention should the nurse implement first?
A) Position the baby with head in a neutral midline position and apply the jaw-thrust maneuver.
B) Facilitate administration of an inhaled bronchodilator.
C) Administer intravenous sedation or pain medication.
D) Ask the parent to use comforting measures for the infant.
A
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A client who presents in the psychiatric unit tells the admitting nurse that she is very depressed and is having a hard time staying clean and sober
Which of the following is true regarding mental illness in a client with identified substance abuse? 1. Depression or other mental illnesses should be treated only after the client has been sober for one month. 2. Depression or other mental illness is an expected outcome of substance abuse recovery. 3. Depression or other untreated mental illness can contribute to relapse. 4. Depression or other mental illnesses are symptoms of the substance abuse.
The nurse has to teach a male patient, who is 85 years old, and his family about a new medication. Which of the following interventions should the nurse implement to enhance patient teaching?
a. Display the medication close to the family while teaching. b. Tell the family members they will need to administer the medication. c. Speak slowly, use repetition, and paraphrase for the patient. d. Face the patient directly and speak clearly in a quiet place.
The nurse is assessing the newborn in the nursery. What is the expected shape of the
anterior fontanel in newborn babies? A) Flat B) Diamond C) Cube D) Triangular
List seven sites where pressure ulcers commonly develop.
What will be an ideal response?