An abbreviated systematic physical assessment of the newborn is performed by the nurse in the birthing area to detect any abnormalities
Normal findings would include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Skin color: Body blue with pinkish extremities
2. Umbilical cord: two veins and one artery
3. Respiration rate of 30-60 irregular
4. Temperature of above 36.5°C (97.8°F)
5. Sole creases that involve the heel
3, 4, 5
Explanation: 3. Normal findings would include a respiration rate of 30-60 irregular.
4. Normal findings would include temperature of above 36.5°C (97.8°F).
5. Normal findings would include sole creases that involve the heel.
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A 37-year-old woman with multiple sclerosis is married and has three children. The nurse has worked extensively with the woman and her family to plan appropriate care. What is the nurse's most important role with this patient?
A) Ensure the patient adheres to all treatments B) Provide the patient with advice on alternative treatment options C) Provide a detailed plan of activities of daily living (ADLs) for the patient D) Help the patient develop strategies to implement treatment regimens
When assessing community needs, where should the nurse be aware that domestic violence is found?
1. All strata of society 2. Exclusively among the less well-educated segment of the population 3. Primarily in lower-income families 4. Mostly in the elderly
The major function of the sympathetic nervous system is to:
a. orchestrate the stress response. b. coordinate fine motor movement. c. determine proprioception. d. perceive stereognosis.
When a nurse attempts to pass a nasogastric tube through the patient's pharynx, the patient begins to cough and shows signs of respiratory distress. Which of the following would be an appropriate intervention in this situation?
A) Ask the patient to take a deep breath and continue advancing the tube. B) Stop advancing the tube and pull it back into the nasal area. C) Immediately remove the tube and call the physician. D) If patient can tolerate another attempt, ask him or her to raise the chin and swallow as the tube is advanced.