In caring for the postterm infant, thermoregulation can be a concern, especially in an infant who also has a:
a. hematocrit level of 58%.
b. WBC count of 15,000 cells/mm3.
c. RBC count of 5 million.
d. blood glucose level of 25 mg/dl.
D
Because glucose is necessary to produce heat, the infant who is also hypoglycemic will not be able to produce enough body heat.
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The nurse is caring for a patient with an ICP of 18 mm Hg and a GCS score of 3 . Following the administration of mannitol (Osmitrol), which assessment finding by the nurse requires further action?
a. ICP of 10 mm Hg b. CPP of 70 mm Hg c. GCS score of 5 d. CVP of 2 mm Hg
The nurse should complete a detailed cognitive assessment on an elderly client before surgery because (Select all that apply)
a. confusion and psychosis are commonly seen in postoperative elderly clients. b. elders often experience intraoperative strokes. c. neurologic changes resulting from surgery can last longer in an older client. d. temporarily impaired cognition can be mistaken for a neurologic event.
A client had a splenectomy. Which fact is most important to teach the client regarding immune function?
a. "You won't get a fever with infection, so you need to learn to identify other symp-toms." b. "It will no longer be necessary for you to worry about developing allergies." c. "Avoid people who are ill because it will be harder for you to develop antibodies." d. "You will need to be assessed yearly for the risk of developing cancer."
What is Baby Sitar's Apgar? Heart rate 76, respirations weak cry, muscle tone slight flexion of extremities, reflexes grimace, color pink with blue extremities:
A) 2. B) 3. C) 4. D) 5.