The nurse is providing care to several newborn patients during well-baby visits. Which set of vital signs is the most abnormal?
1) Temperature 38°C, heart rate 120, and respirations 34
2) Temperature 39°C, heart rate 135, and respirations 34
3) Temperature 36.8°C, heart rate 140 (crying), and respirations 40
4) Temperature 37.7°C, heart rate 133, and respirations 30
ANS: 2
You might also like to view...
Assessment of nutritional status may include
a. Observation of the older adult while eating b. Keeping a food journal of what and how much is eaten c. Questions about the older adult's food shopping and cooking practices d. All of the above
Following an injury where a child hit his head from a fall, the CT scan reveals a contusion that the doctor classifies as a moderate brain injury
Which of the following manifestations will the nurse more than likely assess on this child that support this diagnosis? Select all that apply. A) Coma with total paralysis B) Periods of unconsciousness C) Aphasia at times D) Nuchal rigidity E) Weakness or slight paralysis affecting one side of the body
The nurse explains to a client following mastectomy with lymph node dissection that care of the operative arm should include
a. avoiding heavy lifting and trauma to the arm. b. having blood pressure taken on the operative arm. c. limiting all movement until the incision is healed. d. wearing an Ace bandage wrap for 2 years.
Coercion involves forcing a patient to do something against her wishes.
Answer the following statement true (T) or false (F)