Which method would be most effective in assessing for jaundice in a newborn who is dark-skinned?
A) Pressing a finger on the infant's skin
B) Checking the newborn's capillary refill time
C) Checking whether the serum bilirubin level has reached 10 mg/dL
D) Identifying decreased muscle tone
A
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The nurse has received a child from the emergency department with a diagnosis of decreased level of consciousness secondary to increased intracranial pressure. Which physician's order would the nurse question?
1. Passive range-of-motion exercises 2. Oxygen at 2L nasal cannula to keep saturation above 95% 3. Hourly vital signs and neuro checks 4. Elevate head of bed 30 degrees
How is a gateway substance defined?
a. Recreational drug used occasionally b. Nonaddictive drug used daily c. Drug used to wean from stronger drugs d. Substance that can lead to use of stronger drugs
A teenaged male patient who wrestles in high school is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
a. Ringlike rashes with red, scaly borders over the entire scalp b. Papular, wheal-like lesions with white deposits on the hair shaft c. Patchy areas of alopecia with small vesicles and excoriated areas d. Red, hivelike papules and plaques with sharply circumscribed borders
The nurse is caring for a patient who will be receiving PN. To reduce the risk of developing sepsis, the nurse
a. Takes down a running bag of TPN after 36 hours. b. Runs lipids for no longer than 24 hours. c. Wears a sterile mask when changing the CVC dressing. d. Wears clean gloves when changing the CVC dressing.