While caring for a new mother, the nurse instructs the client to prevent hypothermia in the newborn by:
1. Covering the newborn with a light sheet during afternoon naps.
2. Covering the newborn with minimal blankets when out of doors in temperatures in the 50s.
3. Expecting the baby to shiver.
4. Noticing changes in the baby's respirations and taking the appropriate action.
4. Noticing changes in the baby's respirations and taking the appropriate action.
Rationale:
Chilling can cause signs of respiratory distress in the newborn. The nurse should instruct the mother to be aware of changes in respirations, which would indicated that the baby is cold and needs to be protected. The newborn should be covered with more than a light sheet during afternoon naps. The newborn should be protected with many blankets when out of doors in temperatures in the 50s. Shivering is not expected and means that the baby's metabolic rate has doubled.
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1. falls to the ground, which causes injury. 2. loses consciousness, resulting in injury. 3. loses balance, resulting from a lack of equilibrium. 4. injures self, resulting from a side effect of a medication.
A nurse is examining a 2-year-old child diagnosed with ataxic cerebral palsy. The child is unable to perform fine leg movements and has a wide-based gait. What other distinguishing features should the nurse look for in this client?
A) Problems with depth perception B) Writhing involuntary movements C) Evidence of full or partial paralysis D) Increased muscle tone or spasticity
The least common denominator of the fractions andÂ
is ________.
Fill in the blank(s) with the appropriate word(s).
When assisting the client with using a bedpan, the nurse should:
A. Lower the client's head B. Remove abduction pillows C. Push the pan under the client's hips D. Place the bedpan under warm water before use