The nurse informs a client that her plaster cast is dry because the nurse has assessed that the cast is
a. cold to the touch.
b. dull on percussion.
c. gray in color.
d. odorless.
D
A dry plaster cast is odorless, resonant, white, and feels close to room temperature.
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A home health nurse is evaluating a client who had a colostomy placed 6 weeks ago for the treatment of ulcerative colitis. Which assessment will cause the nurse to conclude that teaching goals for this client have been met?
A) A colostomy pouch that is clean and dry B) Vital signs that reveal a normal temperature C) A stoma that is pink and intact D) The client experiences pain with certain types of food.
The nurse is doing a neurologic assessment on a 2-month-old infant after a car accident. Moro, tonic neck, and withdrawal reflexes are present. How should the nurse interpret these findings?
a. Neurologic health b. Severe brain damage c. Decorticate posturing d. Decerebrate posturing
A 5-year-old child presents with discrete vesicles on an erythematous base (dew drops on a rose petal appearance) that began near her scalp and are spreading to the trunk. The child has a low-grade fever and feels tired
What is the nurse's next action? a. Teach infectious control measures. b. Inquire about other patterns of physical abuse. c. Inspect the buccal mucosa for Koplik spots. d. Inform the parent that this will resolve within a couple of days.
Which factor is most important when determining if an organized sport is safe for a child to participate in?
A) Adult coaches with training in selected sport B) Rules C) Height and weight of child D) Age of child