A nurse has been assigned to care for an infant with tetralogy of Fallot. The infant suddenly exhibits rapid, deep respirations; irritability; and cyanosis. The nurse determines that the infant is experiencing a hypercyanotic episode and immediately:
A. Calls a code
B. Holds the infant in an upright position
C. Places the infant in the knee-chest position
D. Contacts the respiratory therapy department
Answer: C. Places the infant in the knee-chest position
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Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis b. Medical diagnosis c. Diagnostic hypothesis d. Diagnostic assessment
Which of the following best describes what physicians did to compete with new competition from health maintenance organizations (HMOs)?
a. Accepted employment directly under the insurance company b. Organized preferred provider organizations (PPOs) to negotiate with insurance companies c. Created private practices with colleagues within hospital medical complexes d. Decided to strike and refused to work in the new HMOs
A 17-year-old male experienced third-degree full-thickness burns 2 days ago to his lower limbs after a fire at his workplace. Which of the following complications should his care team foresee and regularly assess for? Select all that apply
A) Systemic infection B) Fluid volume deficit C) Respiratory dysfunction D) Hypermetabolic response E) Constipation and bowel obstruction
Why does the nurse frequently assess an older adult who is on a psychotropic drug?
a. Older adults are less active. b. The older adult has fewer cognitive capabilities. c. Brain receptors have become hypersensitive. d. Receptor sites have lower perfusion.