The nurse is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
A) When the cheek of the baby is touched, the newborn turns toward the side that is touched.
B) When the lateral aspect of the sole of the baby's foot is stroked, the toes extend and fan outward.
C) When the baby is suddenly lowered or startled, the neonate's arms straighten outward and the knees flex.
D) When the newborn is supine and the head is turned to one side, the arm on that same side extends.
C
When the baby is suddenly lowered or startled, the neonate's arms straighten outward and the knees flex.
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A student asks the nurse what is the best way to assess a client's pain. Which response by the nurse is best?
a. Numeric pain scale b. Behavioral assessment c. Objective observation d. Client's self-report
A client receiving emergency treatment for severe burns has just been assessed to establish the burn depth. Why is a nurse asked to reassess the burn depth after 72 hours?
A) It helps determine the percentage of the total body surface area (TBSA) that is burned. B) The client's condition is likely to deteriorate after 72 hours. C) The wound is susceptible to infections. D) The early appearance of the burn injury may change.
Which vasoconstrictor is usually associated with the treatment of anaphylaxis?
1. Norepinephrine (Levophed) 2. Epinephrine (Adrenalin) 3. Dopamine (Dopastat) 4. Dobutamine (Dobutrex)
The nurse is working within a health care system that uses Neuman's theory. A patient is having difficulty breathing and requires oxygen and medication. Which of the following approaches is the nurse's goal?
a. Strengthen the line of defences, and focus on prevention. b. Promote attainment of biological self-care requisites. c. Assist in physiological adaptation to internal changes. d. Achieve the 14 basic needs.