A baby boy was just born to a mother who had positive vaginal cultures for group B streptococci. The mother was admitted to the labor room 30 minutes before the birth. For which of the following should the nursery nurse closely observe this baby?
A) Grunting
B) Acrocyanosis
C) Pseudostrabismus
D) Hydrocele
A
Grunting
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The nurse in the intensive care unit (ICU) is caring for a client diagnosed with acute respiratory distress syndrome (ARDS). Vital signs prior to endotracheal intubation: HR 108 bpm, RR 32 bpm, BP 88/58 mmHg, and oxygen saturation 82%
The client is intubated and placed on mechanical ventilation with positive pressure ventilation. Which assessment finding indicates a further decrease of cardiac output secondary to positive pressure ventilation? A) Blood pressure 90/60 mmHg B) Urine output 25mL/hr C) Heart rate 110 bpm D) Oxygen saturation 90%
The nurse is conducting a neck assessment for a patient. The nurse inspects the neck in a neutral straight position. Which other assessment of the neck is appropriate?
1) In a flexed position 2) As the patient swallows 3) In a lateral position 4) As the patient holds his or her breath
Restorative nursing may involve measures that promote which of the following?
a. Self-care b. Encouraging use of a Foley catheter c. Immobilization d. Bedrest
K.D. was taught about disease transmission and safer sex and encouraged to maintain
moderate exercise, rest, and dietary habits when he was first diagnosed as HIV positive. Give at least four additional topics that should be discussed with K.D. before he goes home.