At 1 minute after birth, the infant has a heart rate of 100 beats per minute, and is crying vigorously. The limbs are flexed, the trunk is pink, and the feet and hands are cyanotic. The infant cries easily when the soles of the feet are stimulated
How would the nurse document this infant's Apgar score? 1. 7
2. 8
3. 9
4. 10
3
Explanation: 3. Two points each are scored in each of the categories of heart rate, respiratory effort, muscle tone, and reflex irritability. One point is scored in the category of skin color. The total Apgar would be 9.
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Which statement indicates the nurse manager needs further assistance in learning about the change process?
1. ?Resistance to change is never a positive part of the change process.? 2. ?I know some people will resist but with support they will come around.? 3. ?For those resisting this necessary change, assisting in the process will help.? 4. ?If colleagues help each other, the resistance will lessen over time.?
To relieve a child's feeling of thirst immediately after tonsillectomy, the best thing to offer would be
A) milk. B) juice. C) ice chips. D) ginger ale.
The nurse is planning care for a client who had a cesarean birth four hours ago. Which of the following should be included in this client's plan of care? (Select all that apply.)
1. Administer analgesics as prescribed. 2. Encourage to ambulate to the bathroom to void. 3. Encourage leg exercises every 2 hours. 4. Encourage deep breathing and coughing every 2 to 4 hours. 5. Encourage the use of breathing, relaxation, and distraction.
The nurse understands that numerous comorbidities can contribute to the development of dementia. Which of the following clients may be at risk for dementia?
A) An 87-year-old resident of a long-term care facility who has developed a urinary tract infection B) A 69-year-old man whose lung cancer has metastasized to his bones and liver C) A 30-year-old client with schizophrenia who has been admitted to the hospital because of psychogenic polydipsia D) A 49-year-old man whose human immunodeficiency virus (HIV) has progressed to acquired immunodeficiency syndrome (AIDS)