A nurse needs to check an ill infants temp at the pediatrician's office. Which site would be more appropriate for this age?
A. ear
B. rectum
C. temporal artery/forehead
D. mouth
Answer: C. temporal artery/forehead
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Emergency medical services (EMS) brings a large number of clients to the emergency department following a mass casualty incident. The nurse identifies the clients with which injuries with yellow tags? (Select all that apply.)
a. Partial-thickness burns covering both legs b. Open fractures of both legs with absent pedal pulses c. Neck injury and numbness of both legs d. Small pieces of shrapnel embedded in both eyes e. Head injury and difficult to arouse f. Bruising and pain in the right lower abdomen
The nurse caring for a patient with an open fracture of the radius is developing a care plan for the patient. The nurse will assign priority to which of the following nursing diagnoses?
A) Risk for infection B) Risk for activity intolerance C) Risk for imbalanced nutrition, less than body requirements D) Risk for powerlessness
Which clinical finding by the nurse is considered normal in the older adult client?
1. A hemoglobin of 10 g/dL two days post-joint replacement 2. Reports of the hands and feet feeling extremely warm 3. Skin tear with bruising, re-bleeding, and prolonged healing time 4. Poor or weak pulse amplitude in bilateral lower extremities
Insensible water loss of 800 to 1000 mL/day occurs through the:
1. Intestine and lungs 2. Kidney and skin 3. Kidney and intestine 4. Skin and lungs