In assessing a patient with a tumor in the pons, the nurse expects to find which abnormalities due to pressure on cranial nerves?
a. Dilated pupils and ptosis
b. Facial asymmetry and impaired hearing
c. Difficulty swallowing
d. Impaired gag reflex
ANS: B
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A diagnosis of rheumatic fever is being ruled out for a child. The parents cannot remember the child having a recent streptococcal infection. Which lab test would confirm a recent streptococcal infection?
1. Erythrocyte sedimentation rate 2. Throat culture 3. C-reactive protein 4. Antistreptolysin-O (ASO) titer
The nurse is caring for infants having the condition failure to thrive (FTT). Which of the following infants would be at high risk for this condition? Select all answers that apply
A) A newborn baby with tetralogy of Fallot B) An infant with a cleft palate C) An infant born to a diabetic mother D) An infant born to an impoverished mother E) An infant with bronchopulmonary dysplasia F) An infant born to a teenage mother
The nurse notes that the left arm of a client who has experienced a brain attack is in a contracted, fixed position. Which complication of this position does the nurse monitor for in this client?
a. Shoulder subluxation b. Flaccid hemiparesis c. Pathologic fracture d. Neglect syndrome
Which observation indicates to you that your client with COPD is effectively using interventions for airway clearance?
A. The client's cough is nonproductive. B. The oxygen saturation is consistently above 88%. C. The client consistently uses "pursed-lip" breathing. D. The serum albumin level is within the normal range.