A neonate girl is admitted to the nursery following a long and difficult labor. Admission vital signs are temperature 96.5°F (35.8℃), heart rate 168 beats/minute, and respiratory rate 64 breaths/minute. The infant is placed under the radiant heater. What should the nurse do next
A. Review the pregnancy and delivery history.
B. Call the pediatrician to report findings.
C. Perform a full neonate assessment.
D. Check the neonate’s blood glucose level.
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The nurse is caring for a client who undergoes a total right knee replacement. The nurse would anticipate which of the following activity orders for this client on the first postoperative day
A. Bed rest for 24 to 48 hours after surgery.
B. Ambulate with walker twice a day.
C. Up to chair with leg elevated.
Dangle at bedside for 20 minutes.
The nurse assesses the client’s urinary stoma regularly for edem().
A. Which of the following signs and symptoms might indicate excessive stomal edemaA. Elevated temperature.
B. Urine output below 30 mL/hour.
C. Urine dribbling from the stoma.
D. Complaints of discomfort around the stom
Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this client Hirsutism.
The plan of care for a client with hypertension taking propranolol hydrochloride would include which of the following
A. Instructing the client to discontinue the drug if nausea occurs and to monitor blood pressure.
B. Instructing the client to notify the physician of irregular or slowed pulse rate.
C. Monitoring blood pressure every week and adjusting the medication dose accordingly.
D. Measuring partial thromboplastin time weekly to evaluate blood clotting status.