Just after delivery, a newborn's axillary temperature is 94 degrees F. What action should the nurse take?
A) Assess the newborn's gestational age.
B) Rewarm the newborn gradually.
C) Observe the newborn q 1 hour.
D) Notify the physician if the temperature goes lower.
B
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A client with a urinary disorder of the ureters asks the nurse to explain how the renal system is structured. The nurse explains that the ureters are attached to the kidney in an area known as the:
1. renal medulla. 2. renal pyramids. 3. hilum. 4. renal fascia.
The nurse assesses a burn patient's urine to be reddish-brown in color. Which of the following would be indicated for this patient?
1. provision of intravenous fluids to maintain a urine output of 30 cc per hour 2. irrigating the patient's bladder with a sodium bicarbonate solution 3. interventions to raise the urine pH to an alkaline level 4. withholding sodium bicarbonate to the patient
A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?
a. Blood pressure (BP) is less than 140/90 mm Hg. b. Patient reports decreased exertional dyspnea. c. Heart rate is between 60 and 100 beats/minute. d. Patient's chest x-ray indicates clear lung fields.
During assessment a patient says, "I took my blood pressure at home and it was high. I have been taking my husband's propranolol (Inderal) for the last week." The nurse is especially concerned about this action when it is noted that the patient has which preexisting conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all
that apply. 1. Obesity 2. Diabetes mellitus 3. COPD 4. Asthma 5. Rheumatoid arthritis