Nasal flaring and sternal retractions
What will be an ideal response?
P
Crackles and rales indicate fluid in the lungs; nasal flaring and sternal retractions are signs of respiratory distress.
Nurses who care for newborns are responsible for assessment of their physical condition. An understanding of the newborn's normal adaptation to extrauterine life will enable the nurse to recognize deviations from normal.
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The wife of a patient who has just returned to the unit after a TURP is alarmed about the blood clots and pieces of tissue returning in the indwelling catheter bag. The nurse's best response is:
a. "Don't worry. All these patients bleed. It's no big deal." b. "Blood clots and tissue are expected for the first few days." c. "I'll notify the surgeon immediately. He will be able to stop this hemorrhage." d. "Bleeding will completely clear up in about 8 hours."
The client asks the nurse why he is to receive flurbiprofen sodium during ocular surgery. The nurse's best response is:
a. "It is used because you have herpes simplex keratitis." b. "It is administered to constrict your pupils." c. "It is used to reduce edema and inflammation." d. "One drop is administered q. 30 minutes beginning two hours before surgery."
An 18-pound, 12-month-old child with a known diagnosis of Tetralogy of Fallot with pulmonary atresia has been ordered to receive a calorie intake of 150 calories/kg per day. The total caloric intake prescribed is:
1. 1528 2. 1227 3. 2700 4. None of the above
The second phase of the performance appraisal interview is the participation. It is important for the nurse manager to do which of the following first during this phase?
a. Provide feedback on employee's accom-plishments and successes b. Discuss areas of concern c. Establish goals d. Identify areas for improvement