The perinatal nurse is aware that if a respiratory rate of 68 breaths per minute is noted in the newborn, the appropriate nursing actions would include:
Select all answers that apply.
A) withholding the feeding.
B) continuing assessment of the infant's respiratory rate and color.
C) notifying the physician of additional signs or symptoms of respiratory distress.
D) documenting the infant's chest measurement.
A, B, C
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A child is diagnosed with atopic dermatitis. Which laboratory test would the nurse expect the child to undergo to provide additional evidence for this condition?
A) Erythrocyte sedimentation rate B) Potassium hydroxide prep C) Wound culture D) Serum immunoglobulin E (IgE) level
The second stage of Kubler-Ross's stages of dying and death is
a. bargaining c. anger b. denial d. depression
The nurse is caring for a client who is receiving intravenous fluids that are not regulated on an electronic controller
In order to calculate the rate of the IV flow in drops per minute, the nurse must know the number of drops per milliliter of fluid the tubing delivers. Where should the nurse look for this information? A) On the roller clamp of the tubing B) In the charting from the nurse who started the infusion C) In the drug reference book D) On the packaging of the tubing
Which nutritional instruction is a priority for the nurse to advise a patient about with an ileostomy?
a. Keep fiber low. b. Eat large meals. c. Increase fluid intake. d. Chew food thoroughly.