This topic contains a solution. Click here to go to the answer

Author Question: The nurse is about to take vital signs on a newborn patient in the nursery. She should: a. assess ... (Read 84 times)

ap345

  • Hero Member
  • *****
  • Posts: 537
The nurse is about to take vital signs on a newborn patient in the nursery. She should:
 
  a. assess respiratory rate after taking a rectal temperature.
  b. observe the child's chest while the child is sleeping.
  c. call the physician if the rate is over 40.
  d. expect that the child will have short periods of apnea.

Question 2

The nurse is assessing the patient by grasping a fold of skin on his forearm. She notices that the skin remains suspended for a longer than normal period. What could this indicate?
 
  a. Stage I pressure ulcer
  b. Increased blood flow to the area
  c. Localized vasodilation
  d. Dehydration



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

lin77x

  • Sr. Member
  • ****
  • Posts: 326
Answer to Question 1

D
An irregular respiratory rate and short apneic spells are normal for newborns. Assess respiratory rate before other vital signs or assessments are taken. Children up to age 7 breathe abdominally, so respirations are observed by abdominal movement. Average respiratory rate (breaths per minute) for newborns is 30 to 60; for infants (6 months to 1 year), 30 to 50; for toddlers (2 years), 25 to 32; and for children from 3 to 12 years, 20 to 30.

Answer to Question 2

D
With reduced turgor, the skin remains suspended or tented for a few seconds before slowly returning to place. This indicates decreased elasticity and possible dehydration. A stage I pressure ulcer may cause warmth and erythema (redness) of an area. Skin temperature reflects an increase or decrease in blood flow. Normal reactive hyperemia (redness) is a visible effect of localized vasodilation, the body's normal response to lack of blood flow to underlying tissue.




ap345

  • Member
  • Posts: 537
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


blakcmamba

  • Member
  • Posts: 335
Reply 3 on: Yesterday
Excellent

 

Did you know?

In most climates, 8 to 10 glasses of water per day is recommended for adults. The best indicator for adequate fluid intake is frequent, clear urination.

Did you know?

There are actually 60 minerals, 16 vitamins, 12 essential amino acids, and three essential fatty acids that your body needs every day.

Did you know?

Nearly 31 million adults in America have a total cholesterol level that is more than 240 mg per dL.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

For a complete list of videos, visit our video library