Following the 1-minute Apgar score of a neonate, the nurse ...

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Following the 1-minute Apgar score of a neonate, the nurse records the number 5 . What is the implied meaning of this number?
 
  A) The newborn is in good condition.
  B) The newborn does not need resuscitation.
  C) The newborn is in danger.
  D) The newborn needs emergency resuscitation.

Question 2

A client is prescribed the antihistamine fexofenadine (Allegra) for severe seasonal allergies. Which of the following teaching points are appropriate for this client? Select all that apply.
 
  A) Warn the client not to drive or work around machinery.
  B) Urge the client to avoid using alcohol and other sedatives.
  C) Encourage the client to drink only water when taking the medication.
  D) Discontinue the antihistamine for 2 weeks before allergy testing.
  E) Use sunscreen to avoid photosensitivity reactions.
  F) Warn older adults that a larger dose may be required owing to the effects of aging.

[zhanghao]

Answer to Question 1

C
Feedback:
The meanings of the Apgar scores are as follows: if the total score is 10, the newborn is in the best possible condition, if the score is 7 to 9, the newborn usually does not need resuscitation, if the score is 4 to 6, the newborn is in danger, and if the score is 0 to 3, the newborn needs emergency resuscitation.

Answer to Question 2

A, B, E
Feedback:
The client should avoid driving and using heavy equipment because of drowsiness and avoid alcohol and other sedatives that could potentiate the effect of the medication. Sunscreen is also recommended to avoid photosensitivity reactions. The client should be encouraged to drink juices and other fluids, not just water, because of the side effect of dry mouth. Antihistamines should be stopped 4 days before allergy testing. Older adults should use these medications with caution because the risk for sedative effects is greater in this population.