A newborn is coughing and crying. She also has active motion of her extremities. She has a pulse rate of 120 beats/min and has blue extremities. Her torso is pink. What is her Apgar score?
A) 5
B) 9
C) 6
D) 7
Ans: B) 9
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The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone. What guidelines should they be educated to follow? (Select all that apply.)
a. Ask for identification before letting someone in the house. b. Never accept rides with strangers. c. Keep doors locked. d. Do not enter house if door is ajar. e. Walk to and from school with friends.
The client is beginning to hallucinate and the caregiver checks the lighting because flickering lights increase a client risk for
1. manipulations. 2. feelings of grandeur. 3. aggressive behaviors. 4. delusions or hallucinations.
Identify the dietary instructions by the nurse that are most appropriate for a client who has a positive Trousseau's sign
a. Decrease your intake of calcium and phosphate. b. Increase your intake of potassium and iron. c. Increase your intake of vitamin D and cal-cium. d. Increase your intake of folic acid and de-crease your intake of sodium.
A patient starting INH for latent tuberculosis should be monitored for peripheral neuropathy. Which symptom or sign would alert the nurse to its development?
1. Cramps in the back when walking up steps 2. Headaches and lightheadedness on awakening 3. Dry mouth and difficulty swallowing solids 4. Difficulty buttoning shirts