MC Which one of the following assessments would not be pertinent when determining teaching strategies for a home care client with a new colostomy?
A. Degree of mental alertness.
B. Whether the client is right- or left-handed.
C. Bowel habits prior to surgery.
D. Degree of abdominal distention.
B
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The nurse is examining a patient and notes enlarged thyroid glands. What should the nurse do next?
a. Contact the physician immediately. b. Auscultate for bruits over the thyroid. c. Inform the charge nurse of the findings. d. Encourage the patient to lay in a semi-Fowler's position.
A nurse provides health services for women and children in the community. Which of the fol-lowing provides the provisions to offer these services?
a. Sheppard-Towner Act b. Public Protection of Maternity and Infan-cy program c. Early Periodic Screening and Develop-mental Testing (EPSDT) program d. Women, Infants, and Children (WIC) program
During an assessment, a teenager reveals a 2-year history of inhalant use. Using knowledge that fumes may be inhaled through the mouth, this will achieve a state of intoxication similar to:
A) Alcohol B) Cannabis C) Cocaine D) Morphine
The nurse is checking a newborn's 1-minute Apgar score based on the following assessment
The heart rate is 160 beats/min; he has positive respiratory effort with a vigorous cry; his muscle tone is active and well-flexed; he has a strong gag reflex and cries with stimulus to the soles of his feet; his body is pink, with his hands and feet cyanotic. What is the newborn's 1-minute Apgar score? 1. 7 2. 9 3. 8 4. 10