The nurse receives shift change reports on infants born within the last 4 hours. Which newborn should the nurse see first?

1. Term male, grunting respirations
2. 37-week male, respiratory rate 45
3. 8 lb, 1 oz female, pulse 150
4. 39-week female, temperature 97°F


1
Explanation:
1. Grunting respirations are an indication of respiratory distress. This infant needs further assessment and possibly intervention immediately.
2. A normal respiratory rate is 30 to 60 breaths/min. This infant has no unexpected findings.
3. A normal pulse is 110 to 160 beats/min. This infant has no unexpected findings.
4. A normal temperature range is 96.8 to 97.7°F. This infant has no unexpected findings.

Nursing

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Epithelial membranes function is to:

a. Secrets mucous, line ends of bones and line bursae b. Line ends of bones, secrete synovial fluid, line internal surfaces of organs c. Cover the wall of lower digestive tract, secrets mucous and lines lungs, peritoneum and pericardium d. Line lungs, peritoneum and pericardium and secrete synovial fluid

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Which statement explains the empirical-rational approach to planned change?

1. Using knowledge as the power ingredient and self-interest 2. Using command and control 3. Using sociocultural norms as the motivator 4. Using personalized 1:1 education

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A recommendation to prevent neural tube defects is the supplementation of

a. Vitamin A throughout pregnancy b. Multivitamin preparations as soon as pregnancy is suspected c. Folic acid for all women of childbearing age d. Folic acid during the first and second trimesters of pregnancy

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A nurse caring for a withdrawn, suspicious patient recognizes the development of feelings of anger toward the patient. The nurse should:

a. suppress the angry feelings. b. express the anger openly and directly with the patient. c. tell the nurse manager to assign the patient to another nurse. d. discuss the anger with a clinician during a supervisory session.

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