A newborn is placed under a radiant heat warmer. The nurse knows that thermoregulation presents a problem for newborns because:
1. their renal function is not fully developed and heat is lost in the urine.
2. their small body surface area favors heat loss more rapidly than an adult's body surface area.
3. they have a relatively thin layer of subcutaneous fat that provides poor insulation.
4. their normal flexed posture favors heat loss through perspiration.
3
1. Incorrect. Heat loss does not occur through urination.
2. Incorrect. Newborns have a larger body surface-to-body weight ratio than adults.
3. Correct. The newborn has little thermal insulation. Furthermore, the blood vessels are closer to the surface of the skin. Changes in environmental temperature alter the temperature of the blood, thereby influencing temperature regulation centers in the hypothalamus.
4. Incorrect. The flexed position of the newborn helps guard against heat loss because it di-minishes the amount of body surface exposed to the environment.
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Which method of assessing body temperature takes the least time?
a. ear canal c. rectal b. oral d. axillary
A client diagnosed with diabetes asks the nurse about reusing insulin syringes. Assessment reveals that the client has poor personal hygiene and difficulty with fine motor skills. The nurse also knows the client has financial difficulties
What instruction should the nurse give this client? 1. "The American Diabetes Association advises that syringes are single use only." 2. "In order to save money, I advise you to reuse syringes up to three times or until the needle feels dull." 3. "Only people who practice good personal hygiene can reuse syringes." 4. "All clients are different, but I advise you to use a new syringe each injection."
Which must the nurse realize prior to accepting any assignment as a home health nurse?
1. All decisions will be made by the healthcare provider. 2. Independent decisions regarding emergency care of the child will be made by the nurse. 3. The family will adapt their lifestyle to the needs of the nurse. 4. The family is in charge.
Calling the attention of others to a patient's behavior is a form of verbal abuse.
Answer the following statement true (T) or false (F)