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NEW QUESTION 38
A newborn infant is assessed using the Apgar assessment tool and scores 6. The infant has a heart rate of 95, slow and irregular respiratory effort, and some flexion of extremities. The infant is pink, but has a weak cry. The nurse should know that this Apgar score along with the additional symptoms indicates the neonate is:

A. Functioning normallyB. Needing immediate life-sustaining measuresC. Needing special assistanceD. Needing to be warmed

Answer: C

 

NEW QUESTION 39
You are the nurse providing post-operative care for a 9 year old boy who is 6 hours post-tonsillectomy. He is sleeping, but on routine observation you notice that his pulse has increased, he seems to be restless and trying to swallow frequently. Your immediate action would be:

A. Wake him and offer some ice chips to suckB. Allow child to keep sleeping and record observationsC. Check inside his mouth for any signs of bleeding and notify the physicianD. Apply an ice collar to reduce discomfort

Answer: C

 

NEW QUESTION 40
When caring for a patient with impaired mobility that occurred as a result of a stroke (right sided arm and leg weakness). The nurse would suggest that the patient use which of the following assistive devices that would provide the best stability for ambulating?

A. Quad caneB. WalkerC. Single straight-legged caneD. Crutches

Answer: A

 

NEW QUESTION 41
A patient with deep partial-thickness and full-thickness burns of the face and chest is admitted to the emergency department. The nurse must be particularly alert for:

A. Respiratory distressB. Strong burn odorC. Paralytic ileusD. Severity of pain

Answer: A

 

NEW QUESTION 42
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