A 7-month-old infant weighs 11.6 pounds compared with a birth weight of 7.1 pounds and has a head circumference of 19 inches. The nurse recognizes these findings as:
a. Underweight and normal head circumference.
b. Underweight and larger-than-normal head circumference.
c. Overweight and smaller-than-normal head circumference.
d. Normal weight and larger-than-normal head circumference.
ANS: B
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A 22-year-old college student is allergic to penicillin. Consequently, her current chlamydial infection is being treated with oral erythromycin. What assessment should the nurse prioritize during this patient's course of treatment?
A) Assessment of the patient's apical heart rate B) Assessment of the patient's hearing C) Assessment of the patient's peripheral pulses D) Assessment of the patient's renal function
What important safety precaution should the home health nurse teach parents in order to prevent burns to small children?
a. Never leave them unattended b. Turn pot handles on stoves away from reach c. Turn hot water on first when filling the bathtub d. Keep side rails up on the crib
Concerning assessment of the fetus, the maternity nurse should be aware that:
1. the fetal heart tones are heard (in the second trimester) by a Doppler stethoscope, whereas the fetal heart rate (third trimester) is heard by the ultrasound fetoscope or stethoscope. 2. the measure of fundal height on the woman's abdomen is a gross measure, and various techniques and procedures can be used on the same patient. 3. there is no need to use ultrasound exams (sonograms) until later in the pregnancy unless there are indications of distress. 4. expectant mothers should count fetal kicks after a meal.
Walking rounds are currently being implemented to avoid errors or omissions in shift reports. Which observations made during walking rounds would be seen as an advantage to the shift re-port? Select all that apply
a. Foley bag is not emptied on a patient on strict I&O. b. Patient needs assistance to bathroom. c. IV infusion bag is nearly dry. d. Patient with a PCA requests instructions to avoid increased pain. e. Patient's family member is caught smoking in the bathroom. f. IV line is not infusing what is currently ordered.