The nurse who assesses increased muscle size in a client would document this finding as being:
a. hypertrophy. c. atrophy.
b. hypertonicity. d. hypotonicity.
ANS: A
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The perinatal nurse notes the following data concerning a new mother/infant couplet who are being admitted: the mother experienced an extended second stage of labor and a vacuum-assisted birth; the infant has a cephalhematoma; the maternal blood type
is A+ and the infant's blood type is O+; and the first breastfeeding was delayed for 3 hours. Which risk factors are present for the development of neonatal hyperbilirubinemia? Select all answers that apply. A) Birth trauma B) Inadequate output C) ABO incompatibility D) Inadequate intake
Fever is associated with which change(s) in vital signs?
1. increased heart rate, decreased cardiac output 2. decreased heart rate, increased cardiac output 3. increased heart rate, increased cardiac output 4. decreased heart rate, decreased cardiac output
Which one of the following methods of documentation is organized around client diagnoses rather than around patient information?
A) Problem-oriented medical record (POMR) B) Source-oriented record C) PIE charting system D) focus charting
The nurse is considering employment in a correctional facility. Which action should the nurse take before accepting the position?
1. Ensure immunizations are current 2. Reconcile personal moral objections 3. Investigate other employment opportunities 4. Complete continuing education courses about the facilities