The nurse is assessing a 2-hour-old newborn delivered by cesarean at 38 weeks. The amniotic fluid was clear. His mother had pre-eclampsia. His respiratory rate is 80; he is grunting, and has nasal flaring
What is the most likely cause of this infant's condition? 1. Meconium aspiration syndrome
2. Transient tachypnea of the newborn
3. Respiratory distress syndrome
4. Prematurity of the neonate
2
Rationale:
1. There was no meconium in the amniotic fluid, which rules out meconium aspiration syndrome.
2. The infant is term, and born by cesarean. He is most likely experiencing transient tachypnea of the newborn.
3. The infant is not premature, and therefore is not likely to be experiencing respiratory distress syndrome.
4. The infant is not premature. Prematurity alone does not cause respiratory distress; the lack of surfactant causes respiratory distress syndrome.
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Why have most CDS systems not shown to significantly impact patient outcomes in clinical trials, despite the fact that a majority of systems have been shown to significantly improve care processes?
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A patient says to the nurse, "I'm scared about a terrorist attack because I live so close to the airport." What should the nurse respond to the patient?
1. "Have you thought about moving?" 2. "That's silly to be so worried." 3. "What do you have in your home to help you in the event of a terrorist attack?" 4. "I would be concerned, too."
A nurse manager is educating unit staff on cultural competence. The manager knows that the teaching has been effective when one of the staff members states that cultural competence is (Select all that apply.)
a. "not important in health care.". b. "accepting and respecting cultural differ-ences.". c. "demonstrating knowledge of the patient's culture.". d. "demonstrating an understanding of the patient's culture.". e. "adapting care to be congruent with the patient's culture.".