According to the Apgar score, a newborn with a heart rate of 80 beats/min and slow, irregular breathing should receive a combined score of:
A) 2.
B) 3.
C) 4.
D) 5.
Ans A) 2.
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When measuring blood pressure, the nurse identifies the systolic blood pressure at the pressure when which of the following occurs?
1. Korotkoff's sounds develop a muffled whooshing quality. 2. The first of at least two tapping sounds are heard in phase 1. 3. The first sound is heard during phase 1. 4. A muffled blowing quality
A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease?
A) Asterixis B) Constructional apraxia C) Fetor hepaticus D) Palmar erythema
Which assessment findings indicate to the nurse that a child has excess fluid volume? Select all that apply
a. Weight gain b. Decreased blood pressure c. Moist breath sounds d. Poor skin turgor e. Rapid bounding pulse
What is the most likely reason that causes a mother to induce symptoms in her 18-month-old toddler to the point that hospitalizations are necessary?
A) The mother is experiencing burnout and has difficulty controlling her anger. B) This is the mother's indirect way of communicating that she does not want the child. C) This is the mother's way of receiving secondary gains of attention and support from the health care team. D) The mother is using excessive discipline for inappropriate behaviors.