A pediatric nurse is assigned telephone triage for the day at a pediatric clinic. The nurse receives a phone call from the mother of a newborn. The mother states, I am concerned about my baby.
When she first goes to sleep, her eyes dart around under her eyelids, she doesn't breathe regularly, and she sometimes twitches. Based on this data, which response by the nuse is the most appropriate?
A) Please bring your baby in immediately for a checkup.
B) You should ask the doctor about these symptoms at your next checkup.
C) These are common behaviors in newborns and are normal.
D) If your baby does this again, take her to the emergency department.
Question 2
The nurse is caring for a client who is admitted to the hospital with a diagnosis of pneumonia. The client is on a monitor, and vital signs are recorded from the monitor in order to leave the client undisturbed during the night.
The nurse observes that blood pressure, heart rate, and respirations are below baseline for this client. Based on this data, which conclusion by the nurse regarding the changes in vital signs is the most appropriate?
A) The client is about to have a cardiac arrest.
B) The client is in stage IV of NREM sleep.
C) The client's metabolic rate has increased.
D) The client is in stage II of NREM sleep.
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