The nurse is assessing a neonate born by vacuum extraction. What assessment does the nurse perform to detect possible subgaleal hemorrhage?
A. Measure serial head circumference.
B. Monitor the neonate for bradycardia.
C. Inspect the frontal aspect of the head.
D. Look for backward positioning of the ears.
Answer: A. Measure serial head circumference.
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A 69-year-old patient in the geriatric clinic has an annual physical examination and a complete blood count and serum electrolytes are drawn
While the physical examination was uneventful, the laboratory results show an elevated blood urea nitrogen (BUN). The nurse will then: a. ask that the test be rerun since the client showed no physical signs of renal failure. b. review the client's medication list since BUN can be affected by many specific medications. c. instruct the client on collecting a 24-hour urine specimen for a more detailed analy-sis. d. assure the client that an elevated BUN is normal in older adults.
The nurse is concerned about a critically ill client's fluid intake because intravenous fluids have expired. For which role of water in the human body should the nurse be most concerned in this client?
a. Euhydration b. Weight stabilization c. Elimination of fecal material d. Transport of nutrients and other substances
The nurse is performing an assessment on a client with Graves disease. Which assessment manifestation does the nurse expect to assess?
A) Dry, cold skin B) Orbital tissue inflammation C) Hair loss D) Weight gain
Which of the following client statements indicates that the client with hepatitis B understands discharge teaching?
a) "I will not drink alcohol for at least 1 year." b) "I must avoid sexual intercourse." c) "I should be able to resume normal activity in a week or two. d) "Because hepatitis B is a chronic disease, I know I will always be jaundiced."