Expected muscle tone development in a 28 week neonate would include
a. good extension with a tendency to adduct
b. palmar grasp reflex
c. tonic neck reflex
Answer: b. palmar grasp reflex
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The job description of the staff nurse states the nurse is responsible for attending hospital committee meetings as assigned. The nurse manager asking the staff member to attend a risk management meeting is an example of:
1. Work allocation. 2. Overdelegation. 3. Ineffective delegation. 4. Transfer of authority.
The nurse documents pitting edema in the bilateral lower extremities of the client. What does this documentation mean?
A) There is excess fluid volume in the interstitial space in areas affected by gravity. B) There is excess fluid volume in the venous system of the lower extremities. C) There is excess fluid volume in the arterial system of the lower extremities. D) There is excess fluid volume in the hepatic system.
A woman in active labor complains of feeling "dizzy and faint." When the nurse checks her blood pressure, she or he finds that the reading is lower than previous readings. Based on the nurse's inference, the first nursing action should be to:
a. Lower the bed to the Trendelenburg position. b. Turn the patient to her left side. c. Recheck her blood pressure to verify accuracy of reading. d. Report this episode to the midwife or physician.
The nurse in the medical department is preparing to administer Humalog insulin to a client with Type I DM. Which intervention should the nurse implement?
a) Ensure the client is wearing a MedicAlert bracelet b) Administer the dose according to the regular insulin sliding scale c) Assess the client for hypoglycemia in 2 to 4 hours after administration d) Make sure the client eats the food on the meal tray that is at the bedside