The student nurse has performed a gestational age assessment of an infant, and finds the infant to be at 32 weeks. Which set of characteristics are most likely to be found?
A. Lanugo mainly gone, little vernix across the body
B. Prominent clitoris, enlarging minora, anus patent
C. Full areola, 5 to 10 mm bud, pinkish-brown in color
D. Skin is opaque, has cracking at wrists and ankles, no vessels visible
B
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A nurse recognizes that a patient is homeless and must walk great distances to obtain food. According to Orem's theory, this patient has what kind of need?
a. Health-deviation need b. Developmental need c. Universal need d. Health continuum need
The nurse is reviewing the categories of information that are included in the health record with a group of nursing students. What would be the best response by a nursing student about the purpose of progress records?
A) Records all client information B) Guides nurses to develop individualized care plans C) Includes the physician's orders and the nursing care plan D) Describes the treatment and responses of the client
A mother brings her 12-year-old daughter into a clinic and inquires about getting her an HPV vaccine that day. The nurse informs the mother that the HPV vaccine
a. Is safe for children over the age of 5 and lasts 10 years. b. Is recommended only after a female becomes sexually active. c. Will prevent a female from ever getting cervical cancer. d. Requires a three-injection series to be fully effective.
The nurse is working on a respiratory care unit in the hospital. On entering the room of a client with emphysema, the nurse notes that the client is experiencing respiratory distress. Which of the following actions should the nurse take?
a. Instruct the client to breathe rapidly. b. Provide 28% oxygen at 2 L per minute via nasal cannula. c. Place the client in the supine position. d. Contact the physician.