The nurse is assessing Apgar score on a newborn. What will be evaluated? (Select all that apply.)
a. Reflexes
b. Color
c. Heart rate
d. Respiration
e. Weight
ANS: A, B, C, D
The Apgar score is a standardized method of evaluating the newborn's condition immediately after delivery. Five objective signs are measured: heart rate, respiration, muscle tone, reflexes, and color. The score is obtained 1 minute after birth and again after 5 minutes.
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The 12 domains of culture developed by Purnell and Paulanka identify the following characteristics for the nurse to identify as part of developing cultural competence: Standard Text: Select all that apply
1. Communication 2. Family roles 3. Nutrition 4. Death rituals 5. Intelligence
Which of the following nursing instructions is essential in the care of a postmenopausal client who is prescribed ibandronate (Boniva)?
A) Take with 8 oz of water. B) Take calcium supplements. C) Milk helps with absorption. D) Take at bedtime.
The abbreviation for 3 times per day is:
(A) bid (B) o.d. (C) hs (D) tid
During the assessment phase of the nursing process, the nurse may uncover data that help to identify communication problems. Which of the following is an example of this type of information?
a. Extreme dyspnea or shortness of breath b. Urinary frequency and pain c. Chronic stomach pain d. Lack of appetite