A nurse recognizes which physiologic responses as a manifestation of pain in a neonate? (Select all that apply.)

a. Decreased respirations
b. Diaphoresis
c. Decreased SaO2
d. Decreased blood pressure
e. Increased heart rate


ANS: B, C, E
The physiologic responses that indicate pain in neonates are increased heart rate, increased blood pressure, rapid, shallow respirations, decreased arterial oxygen saturation (SaO2), pallor or flushing, diaphoresis, and palmar sweating.

Nursing

You might also like to view...

Your patient is a 46-year-old woman suffering from psychosis complains of milky discharge from both her breasts. Upon examination, there are no significant findings and the patient is not pregnant, breastfeeding, or in the postpartum period. You should:

A. Order CT scan of head to rule out pituitary tumor B. Obtain a complete list of the patient's medications C. Have the patient keep a menstrual cycle diary D. Refer the patient for mammogram

Nursing

The nurse is reviewing the past medical history of a client diagnosed with Hashimoto thyroiditis. Which conditions does the nurse understand to be caused by thyroiditis? Select all that apply.

A) Fatigue B) Weight gain C) Laryngitis D) Bacterial infection E) Constipation

Nursing

Which exercise does the nurse recommend to a client at risk for osteoporosis?

a. High-impact aerobics 45 minutes once weekly b. Walking 30 minutes three times weekly c. Jogging 30 minutes four times weekly d. Bowling for 1 hour twice weekly

Nursing

The mother of a 6-year-old Vietnamese child admitted with pneumonia is rubbing a coin on the child's back. The coin leaves red marks. What should the nurse do about this observation?

a. Report the possibility of child abuse. b. Do not allow the mother to be alone with her child. c. Explain to the mother that she cannot do this in the hospital. d. Add a statement to the care plan that the family practices coining.

Nursing