After receiving endorsement, which of the following patients should the nurse see first?
A)A seven-day-old infant who is crying, with anterior fontanel bulging
B)A two-hour-old infant, whose temperature is 36.7 °C, with irregular abdominal breathing; respiratory rate of 50 breaths pm
C)An eight-hour-old infant held by the mother, with respiration of 45 breaths pm
D)A one-day old infant, lying quietly, who is alert, with a heart rate of 135 bpm

Question

Quizplus · Accepted Answer

After receiving endorsement, the patient that the nurse should see first is a seven-day-old infant who is crying, with anterior fontanel bulging. The patient with bulging fontanel is experiencing increased intracranial pressure. Options B, C, and D indicate normal conditions.

After Receiving Endorsement, Which of the Following Patients Should the Nurse