An infant with a history of diarrhea and poor feeding for 2 days is admitted to a CCU. The infant has progression of coolness toward the trunk, prolonged capillary refill, and moderate tachycardia and is somewhat difficult to arouse

What additional assessment data should the nurse collect first?
A) Cardiac monitor pattern
B) Serial blood pressure
C) Deep tendon reflexes
D) Status of anterior fontanelle

D

Nursing

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When the AIDS client refuses pain medication because he or she is not in pain presently, the nurse should explain that

a. refraining from using the medication makes its effectiveness last longer. b. skipping a dose will decrease diarrhea. c. taking the medication on schedule keeps the blood level constant. d. using the drug will increase the appetite.

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After assessing the data obtained from a pregnant teenager and her family, the nurse assigns the diagnosis of Ineffective Family Coping related to unanticipated pregnancy. Which goal would be appropriate?

1. The teenager and family will participate in discussions regarding pregnancy. 2. The teenager and family will develop skills for parenting the infant. 3. The teenager and family will develop a trusting relationship with the healthcare providers. 4. The teenager and family will develop self-care skills for the pregnancy.

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A registered nurse has recently specialized in the field of surgery. As a registered nurse

(RN) in the surgical department, what is the advanced practice role the RN could pursue? A) First assistant in surgery B) Administering intravenous (IV) medications C) Administering prescribed medications D) Prescribing postoperative care

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Which statement about dressing changes is correct?

a. Contact with blood, body fluids, secre-tions, or excretions is not likely.
b. The lead nursing assistant tells you what dressing products to use.
c. For mental well-being, the person needs to look at the wound.
d. You need to control your nonverbal communication and body language during dressing changes.

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