The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they:
A) Have a smaller body surface compared to body mass
B) Lose more body heat when they sweat than adults
C) Have an abundant amount of subcutaneous fat all over
D) Are unable to shiver effectively to increase heat production
D
Response:
Newborns have difficulty maintaining their body heat through shivering and other mechanisms. They have a large body surface area relative to body weight and have limited sweating ability. Additionally, newborns lack subcutaneous fat to provide insulation.
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How should the nurse document the behavior of a patient with mental illness?
a. Very disruptive to a person in society b. Differing from socially acceptable behavior c. Causing the person to be involved in problems d. Resulting from an inability to exercise control
The nurse is providing care to a client recently extubated for treatment of aspiration pneumonia and respiratory acidosis
Which action by the nurse provides an optimum environment for this client? A) Allowing family members to remain with client as much as possible B) Restraining the client C) Placing the client in a side-lying position D) Administering narcotics for pain
The nurse is caring for a patient who is undergoing diagnostic testing for suspected malabsorption
When taking this patient's health history and performing the physical assessment, the nurse should recognize what finding as most consistent with this diagnosis? A) Recurrent constipation coupled with weight loss B) Foul-smelling diarrhea that contains fat C) Fever accompanied by a rigid, tender abdomen D) Bloody bowel movements accompanied by fecal incontinence
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a. Hold tube feeding formula b. Change tube feeding setup c. Add blue food dye to formula d. Increase the head-of-bed to a 45-degree angle