The nurse assessing a newborn after a difficult delivery suspects that the baby may have sustained a fractured clavicle. Which of the following signs would alert the nurse to this condition?
A) Seizures
B) Erb-Duchenne paralysis
C) Cyanosis
D) Asymmetrical Moro's reflex
D
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Signs and symptoms of a fractured clavicle include asymmetrical Moro's reflex and crying when the affected arm is moved. Seizures, respiratory distress, cyanosis, a shrill cry, and muscle weakness are signs or intracranial hemorrhage. One example of brachial plexus injury is Erb-Duchenne paralysis, which results from trauma to the fifth and sixth cranial nerves.
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a. Consult with the registered dietitian about increased dietary sodium. b. Restrict the client's fluid intake to 900 mL/24 hr. c. Handle the client gently by using turn sheets for repositioning. d. Instruct the nursing assistants to measure intake and output.
In an inner-city area, a group of nurses meet and develop a plan to negotiate with local businesses to support a breakfast program for young elementary schoolchildren. This is an example of:
a. Community development. b. Collective bargaining. c. Collective action. d. Shared governance.
Deep-breathing and coughing exercises are done:
a. Every hour b. Every 1 to 2 hours c. Every 4 hours d. As often as directed by the nurse and care plan
Which of the following is not a given reason for the lag in knowledge development in nursing?
A) Limited theoretical base to guide practice B) Studies not tied to theory or placed in theoretical context C) Poor efforts to link theory and data in research D) Lack of available study ideas