Which of the following is not included in the nine human response patterns of the NANDA nursing diagnosis taxonomy?
a. valuing c. knowing
b. feeling d. thinking
D
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A neonate is being fed 20 mL every 3 hours by orogastric gavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. The nurse should:
1. Withhold the feeding and notify the physician. 2. Replace the residual and continue with the full feeding. 3. Replace the residual, but only give 5 mL of the feeding. 4. Withhold the feeding and check the residual in 3 hours.
What is Turner's sign?
A. Contraction of the check on tapping the skin in front of the ear B. The presence of uremic frost C. Visible abdominal peristaltic waves. D. A blue-gray discoloration of the flanks
While conducting a physical examination of the thorax, a nurse notes and documents breath sounds as moderate "blowing" sounds with equal inspiration and expiration. What type of breath sounds are these?
A) Bronchial B) Bronchovesicular C) Vesicular D) Adventitious
Match the cell with its function or activity
___ Macrophage ___ Antigenic determinant (epitope) ___ MHC complex ___ Cytotoxic T cell ___ Helper T lymphocyte A. Regulates immune response B. A small fragment of an antigen to which the immune system responds C. Destroys abnormal or infected body cells D. A group of unique self-antigens on body cells E. Antigen processing cell