While assessing a 2-month-old child's airway, the nurse finds that the child isn't breathing. After two unsuccessful attempts to establish an airway, the nurse should
A. attempt rescue breaths.
B. attempt to reposition the airway a third time.
C. administer five back blows.
D. attempt to ventilate with a handheld resuscitation bag.
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When planning care for a 7-year-old boy with Down syndrome, the nurse should
A. plan interventions at the developmental level of a 7-year-old child because that is the child's age.
B. plan interventions at the developmental level of a 5-year-old because the child will have developmental delays.
C. assess the child's current developmental level and plan care accordingly.
D. direct all teaching to the parents because the child can't understand.
Which of the following describes a preterm neonate
A neonate weighing less than 2,500 g (5 lb, 8 oz).
B. A low-birth-weight neonate.
C. A neonate born at less than 37 weeks' gestation regardless of weight.
D. A neonate diagnosed with intrauterine growth retardation.
A client who has discovered a breast lump is tearful and expresses concern over her situation. The best way for the nurse to respond to her is by
A. encouraging a discussion of her problems and fears.
B. asking her if she would like to talk to the chaplain.
C. giving her reassurance.
D. recommending a support group.
Which action should the nurse include in a plan of care for a client with a fiberglass cast on the right arm
A. Keep the casted arm warm with a light blanket.
B. Avoid handling the cast for 24 hours or until dry.
C. Assess pedal and posterior tibial pulses every 2 hours.
D. Assess movement and sensation in the fingers of the right hand.
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