The nurse would give an Apgar score of _________ for a neonate who has respirations of 98, a good strong cry, mild flexion of the limbs, cries when reflex tested, and a pink body with blue extremities
Fill in the blank(s) with correct word
7
Heart rate of less than 100 = 1, strong cry = 2, slight flexion = 1, reflex cry = 2, pink body and blue limbs = 1
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The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen
Based on this data alone, how should the nurse identify the patient's level of anxiety? a. Mild b. Moderate c. Severe d. Panic
You are doing a preoperative assessment on a patient going to surgery. The patient informs you that he drinks six to eight beers each day and has for the last 15 years. What postoperative difficulties can the nurse anticipate for this patient?
A) Delirium tremens immediately following surgery B) Delirium tremens within 72 hours after his last alcohol drink C) Delirium tremens upon administration of general anesthesia D) Delirium tremens 1 week after his last alcohol drink
Nancy, an RN, must decide one of two processes that will effectively achieve a set goal. Her first step is to:
a. identify options. b. select an option. c. evaluate results. d. define objectives.
A patient is being admitted to the intensive care unit after being resuscitated in the emergency department. The patient is being mechanically ventilated. Which information provided by the transferring nurse would the nurse evaluate as increasing this patient's risk of developing ventilator-associated pneumonia (VAP)?
1. "The patient is intubated nasally." 2. "The patient arrested after having a myocardial infarction." 3. "The patient required placement of a nasogastric tube to relieve persistent gastric distention." 4. "The patient's home medications include a proton pump inhibitor." 5. "The patient has a history of chronic obstructive pulmonary disease (COPD)."