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Answer updated on: 12 Feb 2020
Decreased temperatureTemperature instability, especially when it results in a low temperature in the neonate, may be a sign of infection. The neonates color often changes with an infection process but generally becomes ashen or mottled. The neonate with an infection will usually show a decrease in activity level or lethargy.
Answer updated on: 12 Feb 2020
Serum magnesium 0.8 mEq/L While all of these laboratory values are outside of the normal range, the magnesium is most outside of normal. With a magnesium level this low, the client is at risk for
ECG changes and life-threatening ventricular dysrhythmias.
Answer updated on: 12 Feb 2020
"Have you had a respiratory infection in the last 6 months?" The client with leukemia is at risk for infection and has often had recurrent respiratory infections during the previous 6 months. Insomnolence, weight loss, and a decrease in alertness also occur in leukemia, but bleeding tendencies and infections are the primary clinical manifestations
Answer updated on: 12 Feb 2020
Rolling over At 4 months of age, the infant can roll over, which makes it vulnerable to falls from dressing tables or beds without rails. Switching objects from one hand to another is incorrect because it does not prove a threat to safety. Crawling and standing are incorrect because the 4-month-old is not capable of crawling or standing.
Answer updated on: 12 Feb 2020
Acute respiratory distress syndrome (ARDS). Severe hypoxia after smoke inhalation typically is related to ARDS. The other choices arent typically associated with smoke inhalation.
Answer updated on: 12 Feb 2020
Auscultation, percussion, and palpation Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related ...
Answer updated on: 12 Feb 2020
PH, 7.25; PaCO2 50 mm HgIn respiratory acidosis, ABG analysis reveals an arterial pH below 7.35 and partial pressure of arterial carbon dioxide (PaCO2) above 45 mm Hg. Therefore, the combination of a pH value of 7.25 and a PaCO2 value of 50 mm Hg confirms respiratory acidosis. A pH value of 5.0 with a PaCO2 value of 30 mm Hg indicates respiratory alkalosis. PH, 7.40; PaCO2 35 mm Hg and pH, 7.35; ...
Answer updated on: 12 Feb 2020
Electrocardiogram The ECG is the quickest, most accurate, and most widely used tool to determine the location of myocardial infarction. Cardiac enzymes are used to diagnose MI but cant determine the location. An echocardiogram is used most widely to view myocardial wall function after an MI has been diagnosed. Cardiac catheterization is an invasive study for determining coronary artery disease ...
Answer updated on: 12 Feb 2020
LipsIn a dark-skinned client, the nurse examines the lips, tongue, nail beds, conjunctivae, and palms of the hands and soles of the feet at regular intervals for subtle color changes. In a client with cyanosis, the lips and tongue are gray; the palms, soles, conjunctivae, and nail beds have a bluish tinge.
Answer updated on: 12 Feb 2020
Restraining the client’s limbsNursing actions during a seizure include providing for privacy, loosening restrictive clothing, removing the pillow and raising side rails in the bed, and placing the client on one side with the head flexed forward, if possible, to allow the tongue to fall forward and facilitate drainage. The limbs are never restrained because the strong muscle contractions could ...
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