During your rapid assessment of a newborn's cardiopulmonary status, you note that its respirations are adequate, you feel 8 pulsations in a 6-second time frame, and the newborn is centrally pink but peripherally cyanotic. The MOST appropriate next action should be to:

A) provide 30 seconds of tactile stimulation.
B) administer positive-pressure ventilations.
C) assess the newborn's blood glucose level.
D) give free-flow oxygen by mask at 5 L/min.


Answer: B) administer positive-pressure ventilations.

Nursing

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Genetic testing reveals that a client has the MLH1 gene. The client says, "What do I do now?" What information should the nurse provide?

Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "You should closely follow guidelines for increased screening." 2. "There is nothing you can do except try to avoid stress, eat well, and get enough rest." 3. "You should be glad that you have this protective gene." 4. "You might want to have your close relatives screened for the gene." 5. "You should closely follow the guidelines for preventing colorectal cancer."

Nursing

Which characteristic is representative of a full-term newborn's gastrointestinal tract?

a. Transit time is diminished. b. Peristaltic waves are relatively slow. c. Pancreatic amylase is overproduced. d. Stomach capacity is very limited.

Nursing

A nurse assesses the vital signs of a healthy newborn infant. What respiratory rate could be expected based on the developmental level of this patient?

A) 15 to 25 breaths/minute B) 16 to 20 breaths/minute C) 20 to 40 breaths/minute D) 30 to 60 breaths/minute

Nursing

The client has been diagnosed with diabetes mellitus type 1. He asks the nurse what this means. What is the best response by the nurse?

1. "The exocrine function of your pancreas is to secrete insulin and it is not working." 2. "Without insulin you will develop ketoacidosis (DKA)." 3. "The endocrine function of your pancreas is to secrete insulin, but it isn't working." 4. "Your alpha cells should be able to secrete insulin, but cannot." 5. "It means your pancreas cannot secrete insulin."

Nursing