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The nurse discovers that a medication error has been made.  What is the most important action for the nurse to take first?

A client’s bed partner reports the client often has irregular snoring then silence followed by a snort. The client is complaining of fatigue and feels like they never get a good nights sleep.  Does this warrant further assessment?

The nurse is caring for a client who has a new prescription for ‘fluoxetine 20 mg by mouth daily for treatment of depression’.  The nurse goes to pull the medication from the pyxis and there are both tablets and oral liquid forms of the medication available to be administered to the client.  What should the nurse do next?

Recall the compound interest formula A=P1+ntnt{“version”:”1.1″,”math”:”A=P1+ntnt”}. If $2,000 is invested in a fund with a 3.5% annual interest rate, compounded monthly, how much money is in the fund after 13 years? 

Per AAP guidelines, which of the following infants should have a car seat screen prior to discharge? 

Which of the following statements are true regarding Spinal Muscular Atrophies (SMAs)?

A 25-week infant has a cranial ultrasound on the seventh day of life. The ultrasound revealed hemorrhage filling greater than 50% of the lateral ventricles, which are subsequently dilated. Based on this information, how would classify this Grade of intraventricular hemorrhage (IVH)? 

You are called emergently to a Cesarean section for a maternal abruption. The infant is flaccid, cyanotic, has no reflex response with drying/stimulation, and no cry. There is some irregular chest movement. Upon auscultation, the heart rate is 80. What APGAR  would you assign this infant?

What is the preferred neuroimaging to evaluate for hypoxic ischemic encephalopathy injury?

You are called to an emergent cesarean section of a full term neonate due to non-reassuring fetal heart rate tracings. Mother was noted to have a uterine rupture. Apgars were 0 at 1 minute of life, 3 at 5 minutes of life, and 4 at 10 minutes of life. The neonate required a full resuscitation following birth including intubation/ventilation, chest compressions, two 10 ml/kg normal saline boluses, and several doses of epinephrine. The neonate has an abnormal neurological exam compatible with severe hypoxic ischemic encephalopathy and has been having seizures. At 24 hours of age, the Na+ level is 128,  the creatinine is 1.6, and the urine output is 0.5 ml/kg/hr.  Which of the following actions are appropriate?