Part of the assessment of a preterm infant includes obtaining an abdominal girth measurement. The NICU nurse performs this assessment because the patient is at risk for __________
Fill in the blank with the appropriate word.
ANS: necrotizing enterocolitis (NEC)
When caring for a child with necrotizing enterocolitis, the nurse must measure and record frequent abdominal circumferences, auscultate bowel sounds before every feeding, and observe the abdomen for distention (observable loops or shiny skin indicating distention).
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Auscultating the heart sounds should result in a "lubb-dupp" sound when using the bell and the diaphragm of the stethoscope. The "lubb" sound is caused by the:
a. opening of the AV valves. b. opening of the semilunar valves. c. closing of the AV valves. d. closing of the semilunar valves.
The nurse is caring for a patient in spinal shock. Vital signs include blood pressure 100/70 mm Hg, heart rate 70 beats/min, respirations 24 breaths/min, oxygen saturation 95% on room air, and an oral temperature of 96.8° F
Which intervention is most important for the nurse to include in the patient's plan of care? a. Administration of atropine sulfate (Atropine) b. Application of 100% oxygen via facemask c. Application of slow rewarming measures d. Infusion of IV phenylephrine (Neo-Synephrine)
When a nurse conducts an interview with a patient, what is the underlying purpose?
A) To provide therapeutic communication when indicated B) To gather subjective information C) To assess the patient's physical status D) To identify the patient's diagnoses
From Orem's perspective, the ____________________ legitimizes the interpersonal relationships of nurses and persons seeking nursing
A. Societal–contractual system B. Interpersonal system C. Societal system D. Professional–technical system