A newborn has a blood glucose level of 188 mg/dL. What further assessment on this baby takes priority?
A.
Airway status
B.
Breathing status
C.
Circulatory status
D.
Skin status
ANS: C
Hyperglycemia causes an osmotic diuresis and can lead to dehydration. The nurse needs to prioritize the assessment of fluid status over the other assessments.
You might also like to view...
The nurse is caring for a patient with an allograft transplant. The physician orders a monoclonal antibody to prevent rejection of the transplant. What monoclonal antibody would the nurse expect to be ordered?
A) Alemtuzumab B) Daclizumab C) Erlotinib D) Omalizumab
A client scheduled for a pulmonary function test asks what is involved in the test. The nurse explains:
A) "You will be asked to breathe in breathe in a specific manner and measurements are taken." B) "You will have blood drawn from an artery in your wrist." C) "A sensor is placed on your fingertip or earlobe and your oxygen levels will be measured." D) "An x-ray of your lungs is taken after a dye is injected into your vein."
What type of breathing will the nurse observe while assessing a patient experiencing both meta-bolic acidosis and Kussmaul respirations?
a. Audible wheezing or stridor b. Increased rate, large tidal volumes, and no expiratory pause c. Rapid respirations with periods of apnea d. Very slow inhalations and rapid expira-tions
Which intervention will the nurse planning care for a patient with acute grief implement?
a. Providing information about the grief process b. Encouraging dependence on the nurse for support c. Suggesting utilization of community resources in a few weeks d. Advising the patient to minimize contact with nonfamily members