A nurse assesses a 2-hour-old infant's temperature and notes it to be 97.7 °F (36.5 °C). What action by the nurse is most appropriate?
A.
Document the findings and continue to monitor.
B.
Ensure the baby is wearing a hat.
C.
Place the baby in a pre-warmed incubator.
D.
Tightly swaddle the baby.
ANS: A
A normal axillary temperature for an infant is 97.7 °-98.6 ° F (36.5 °-37 ° C) within 2-3 hours after birth. The nurse should document the findings and continue to monitor per institutional policy. No further action is needed.
You might also like to view...
A nurse is caring for a patient who has an order to discontinue the administration of parenteral nutrition. What should the nurse do to prevent the occurrence of rebound hypoglycemia in the patient?
A) Administer an isotonic dextrose solution for 1 to 2 hours after discontinuing the PN. B) Administer a hypertonic dextrose solution for 1 to 2 hours after discontinuing the PN. C) Administer 3 ampules of dextrose 50% immediately prior to discontinuing the PN. D) Administer 3 ampules of dextrose 50% 1 hour after discontinuing the PN.
The sound that is registered before it is identified as a barking dog is referred to as:
1. perception. 2. sensation. 3. auditory. 4. kinesthetic.
Two nurses are establishing a primary health care clinic in a rural part of Africa. Their goal is to include as many of the essential components of primary health care, as defined during a WHO conference in Alma Alta
Which of the following functions would likely be included in their model of care? Select all that apply. A. Patient education about health problems B. Maternal and child health care C. Principles of proper nutrition D. Adequate supply of safe water and healthy foods E. Treatment and prevention of local infectious diseases
Knowledge management is a structured process for the generation, storage, distribution, and application of what kind of knowledge in the organization? Standard Text: Select all that apply
1. Chronological knowledge 2. Redundant knowledge 3. Tacit knowledge (personal experience) 4. Generational knowledge 5. Explicit knowledge (evidence)