While caring for an infant, the nurse hears an older child s…

While caring for an infant, the nurse hears an older child screaming in the next room and rushes there, forgetting to put the side rails up on the infant’s crib. The nurse returns to the room to find that the infant has fallen out of the crib and sustained a head injury. Based on the nurse’s action, which of the following is the nurse likely liable for?  

A newborn’s axillary temperature is 97.6⁰F. The newborn is w…

A newborn’s axillary temperature is 97.6⁰F. The newborn is wearing a knitted cap and is swaddled in a blanket, but their T-shirt is damp with spit-up formula.  Room temperature is comfortably warm, and the crib is beside the mother’s bed away from the window and doors.  What is the most likely mechanism of heat loss for this newborn?

The nurse performs an assessment of a client who is receivin…

The nurse performs an assessment of a client who is receiving magnesium sulfate for preeclampsia and is being assessed hourly.  The client has urinary output of 30 mL/hr., respiratory rate of 14 breaths per minute, and absent patellar reflexes.  What is the nurse’s next intervention?

A nurse is assessing a 7-year-old boy and notes bruises in v…

A nurse is assessing a 7-year-old boy and notes bruises in various stages of healing along with several small round burn marks on the child’s body. When the boy’s mother is questioned, she states “He’s so careless, falls all the time and plays with matches.” Which action by the nurse is appropriate?