During assessment of a newborn, the nurse notes the following symptoms: irregular, rapid respirations accompanied by respiratory grunting, flaring of the nostrils, tachycardia, and cyanosis. The nurse suspects the following problem:
a. No problem: these are normal findings
b. Apnea
c. Atelectasis
d. Hemorrhagic disease
C
The findings are not normal for an infant. Apnea is the cessation of breathing for 20 seconds or more. These symptoms are not consistent with hemorrhagic disease.
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A recently hired graduate nurse has overheard a nurse and patient joking. The graduate nurse voices concern to the preceptor, stating, "I don't think the nurse is being respectful of the patient's diagnosis by telling jokes."
What response by the preceptor is indicated? 1. "I am inclined to agree with you.". 2. "You should not eavesdrop on a private conversation.". 3. "The nurse and patient were engaged in therapeutic communication.". 4. "You are too inexperienced to understand the interaction you overheard.".
The son of a 70-year-old man dying of cancer asks the nurse to tell him about the hospice program, so he can help his father decide if the program would be of benefit to him. Which of the following responses should be given by the nurse?
a. At hospice, your father will be heavily medicated, so he will not have pain. b. All of your fathers care will be provided by nurses at hospice. c. Hospice care can take place either at home or in a hospice facility. d. Visiting hours are about the same at hospice as they are here in the hospital.
A 28-year-old presents to the ER reporting severe chest pain that worsens with respirations or lying down. Other signs include a fever, tachycardia, and a friction rub. Assessment findings support which medical diagnosis?
a. Acute pericarditis b. Myocardial infarction (MI) c. Stable angina d. Pericardial effusion
Activities that may be delegated to a nursing assistant in relation to urinary elimination include:
A. Catheterization B. Catheter removal C. Catheter irrigation D. Obtaining catheterized specimens