When assessing a client who requires transfusion of a colloid solution the nurse
observes edema of the whole body. What term is used to describe this condition?
A) Petechiae
B) Anasarca
C) Ecchymosis
D) Diaphoresis
B
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The nurse reviews the neonate's medical record and sees the baby is at 38 weeks' gestation. Which of the following findings would make the nurse question the accuracy of this gestation?
1. Infant sleeps with extremities flexed. 2. Square window of 20 degrees 3. Elbow moves past midline when assessing scarf sign. 4. Breast tissue measures 0.7 cm.
A nurse is caring for a client who is not able to take food orally for 1 week to 10 days. Which of the following types of nutrition does the nurse know that the client will likely receive?
A) Metabolizing nutrition B) Peripheral parenteral nutrition C) Total parenteral nutrition D) Nasogastric feed
Head circumference 34 cm (13.3 inches), chest circumference 36 cm (14 inches)
What will be an ideal response?
Acid-neutralizing capacity (ANC) is an important consideration in choice of antacid. The nurse realizes that further client education is necessary when the client expresses which of the following ideas?
a. "Antacids with a high ANC are more effective than those with a low ANC." b. "ANC is a measure of the quantity of hydrochloric acid an antacid product can neutralize." c. "I will require smaller amounts of antacid if the ANC value is high." d. "Antacids with a high ANC can only be obtained by prescription."