Which of the following new findings would be considered abnormal and requiring immediate attention in the older adult?
a. presbyopia
b. presbycusis
c. MMSE score of 12
d. liver spots
C
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Which of the following would be least indicative of paternal engrossment?
A) Pleasurable experience when touching or holding the newborn B) Identification of imperfections in the newborn's appearance C) Ability to distinguish his newborn from others in the nursery D) Feelings of pride with the birth of the newborn
In preparation for administering an injection to a child at the dorsogluteal site, the nurse positions the child:
a. on the abdomen with the toes pointing inward. b. on the abdomen with the toes pointing outward. c. supine with the toes pointing inward. d. supine with the toes pointing outward.
Which is the priority nursing diagnosis for the child diagnosed with idiopathic thrombocytopenic purpura (ITP)?
1. Ineffective Breathing Pattern 2. Nausea 3. Fluid Volume Deficit 4. Risk for Injury
As a component of a head to toe assessment, Nurse G, is preparing to assess convergence of the "PT" eyes. How should Nure G. conduct this assessment?
A) Ask the "PT" to read a Snellen chart from a distance of 20 feet B) Ask the "PT" to look ahead while slowly bringing a penlight in from the side and to the "PT" pupil. C) Ask the patient to follow her finger as she slowly moves it towards the "PT" nose D) Ask the "PT" to hold his head stationary while following a pencil from left to right