New ballard scale - Study guides, Class notes & Summaries

LEADERSHIP 1. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted. b. Document the client’s refusal in the chart. c. Assess the client for urinary retention. d. Obtain a provider’s prescription for a blood alcoho...

NCSBN Questions and Answers 2023 A woman who is 5 days postpartum and has a history of pregnancy-induced hypertension, calls the hospital triage nurse hotline to ask for advice. She states, "I have had the worst pounding headache for the past two days. Since this afternoon, everything I look at appears blurred. Nothing I have taken helps." What action should the nurse take? a. Explain to the client that changes in her hormones may be the problem. b. Ask the client to explain what exactly ...

NCSBN QBANK QUESTIONS AND ANSWERS 2023 The nurse is reviewing the laboratory results for several clients. Which of the laboratory result indicates a client with partly compensated metabolic acidosis? Chloride 100 mEq/L (100 mmol/L) Sodium 130 mEq/L (130 mmol/L) Hemoglobin 15 g/dL (150 g//L) PaCO2 30 mm Hg PaCO2 30 mm Hg The client is admitted to an ambulatory surgery center and undergoes a right inguinal orchiectomy. Which option is the priority before the client can be disc...

A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway? A. Antibiotic therapy was initiated 2 hr after implementation of the care pathway B. A blood culture was obtained after antibiotic therapy has been initiated C. The route of antibiotic therapy on the care pathway was changed from IV ...

LEADERSHIP 1. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted. b. Document the client’s refusal in the chart. c. Assess the client for urinary retention. d. Obtain a provider’s prescription for a blood alcoho...

1.A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted. b. Document the client's refusal in the chart. c. Assess the client for urinary retention. d. Obtain a provider's prescription for a blood alcohol level. 2....

Test Bank CURRENT Diagnosis and Treatment Pediatrics 24th Edition Hay Levin Table of Contents Chapter 1 The Newborn Infant ......................................................................................... 3 Chapter 2. Child Development and Behavior .................................................................. 10 Chapter 3. Adolescence ................................................................................................. 20 Chapter 4. Adolescent Substance Abuse .............

Newborn assessment 2023/2024 QUESTIONS AND CORRECT ANSWERS APGAR - ANSWERS performed at 1 minute and 5 minutes of life rule out abnormalities assess extrauterine adaptation heart rate respiratory rate muscle tone reflex irritability color APGAR 0-3 - ANSWERS Severe distress APGAR 4-6 - ANSWERS Moderate distress APGAR 7-10 - ANSWERS No distress Heart rate - ANSWERS 0- absent 1- <100 2- >100 Respiratory rate - ANSWERS 0- absent 1- slow, weak cry 2- good cry Muscle tone - ...

● Transition to Extrauterine Life ○ Review signs/symptoms of abnormal findings. ○ What warrants escalation of care? ○ Interventions/Nursing actions for immediate resuscitation/care. ■ The Initial Assessment ● Apgar Scoring ○ Quick review of systems that are completed at 1 minute and 5 minutes of life to rule out abnormalities. ○ Allows the nurse to rapidly assess extrauterine adaptation and intervene with appropriate nursing actions. ■ 0-3 = severe distress ■ 4-6 = ...

A client is concerned that her breasts are engorged and uncomfortable. What is the nurses explanation for this physiologic change? a. Overproduction of colostrum b. Accumulation of milk in the lactiferous ducts and glands c. Hyperplasia of mammary tissue d. Congestion of veins and lymphatic vessels d. Congestion of veins and lymphatic vessels Breast engorgement is caused by the temporary congestion of veins and lymphatic vessels. An overproduction of colostrum, an accumulation of milk in...