A 38-week newborn is found to be small for gestational age (SGA). Which of the following nursing interventions should be a priority in the care of this newborn?
1. Monitor for feeding difficulties.
2. Assess for facial paralysis.
3. Monitor for signs of hyperglycemia.
4. Maintain a warm environment.
4
Rationale:
1. LGA newborns are more difficult to arouse to a quiet alert state, and can have feeding difficulties.
2. LGA newborns often are prone to birth trauma, such as facial paralysis, due to cephalopelvic disproportion.
3. SGA newborns are more prone to hypoglycemia.
4. Hypothermia is a common complication of the SGA newborn; therefore, the newborn's environment must remain warm to decrease heat loss.
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An 82-year-old patient is hospitalized with a diagnosis of pneumonia. The nurse learns that the patient lives alone and hasn't been eating or drinking. When assessing him for dehydration, the nurse would expect to find:
A) Distended neck veins B) Hypothermia C) Hypertension D) Tachycardia
Applied research is designed to solve immediate problems
A) True B) False
A community health nurse is designated as a "mandated reporter." Which of the following best describes this designation?
A) The nurse must witness abuse and neglect before being mandated to report. B) The nurse commands that battered women report the abuse. C) The supervising community health nurse is responsible for reporting only known cases of elder abuse. D) The nurse must report any case of known or suspected abuse and neglect in children or elders.
Which should the nurse monitor a client for that is receiving a salicylate? Select all that apply.
A. Neurotoxicity B. Ototoxicity C. Nephrotoxicity D. Cardiotoxicity E. Pulmonary toxicity