You completed an Apgar score on a newborn baby. The newborn's score was 7 at 5 minutes after birth. These results indicates he is
a. in good condition.
b. mildly depressed.
c. moderately depressed.
d. severely depressed and needs immediate resuscitation.
C
An Apgar score of 8 to 10 is normal and indicates the newborn is in good condition. A score of 4 to 7 means the newborn is moderately depressed and a score of 0 to 3 indicates resuscitation should begin immediately. There is no category of mildly depressed.
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After administering 40 mEq of potassium chloride, a nurse evaluates the client's response. Which manifestations indicate that treatment is improving the client's hypokalemia? (Select all that apply.)
a. Respiratory rate of 8 breaths/min b. Absent deep tendon reflexes c. Strong productive cough d. Active bowel sounds e. U waves present on the electrocardiogram (ECG)
During a psychoeducational group on assertiveness training, a client admits that he is too aggressive. The client asks for suggestions on what he can do to change. The nurse suggests "I statements". The client gives her a puzzled look "
Can you give me an example?" he asks. Which is the appropriate nursing response? A) "I would like to know why you came home late without calling me." B) "I hate it when you think you can just come home late without calling anyone to let them know where you are." C) "I feel angry when you come home late without calling." D) "I think you don't care about me, because if you did, you'd call me if you were planning on coming home late."
Persistent atrial fibrillation (AF) is diagnosed in a patient who has valvular disease, and the cardiologist has prescribed warfarin (Coumadin). The patient is scheduled for electrical cardioversion in 3 weeks
The patient asks the primary care nurse practitioner (NP) why the procedure is necessary. The NP should tell the patient: a. this medication prevents clots but does not alter rhythm. b. if the medication proves effective, the procedure may be canceled. c. there are no medications that alter the arrhythmia causing AF. d. to ask the cardiologist if verapamil may be ordered instead of cardioversion.
The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include the:
a. Mode of administration. b. Actual content of the drug. c. Function the drug plays in the adolescent's life. d. Adolescent's level of interest in rehabilitation.