A woman brings her 7-year-old son to the clinic. The mother states that she was giving her son a bath and noted irritation around his rectum. The nurse would expect this patient to be evaluated for what? (Select all that apply.)

A) Sexual abuse
B) Constipation
C) Hemorrhoids
D) Worms
E) Yeast infection


A, B, D

Nursing

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After a forceps-assisted birth, the mother is observed to have continuous bright red lochia but a firm fundus. What other data would indicate the presence of a potential vaginal wall hematoma?

a. Mild, intermittent perineal pain b. Edema and discoloration of the labia and perineum c. Lack of an episiotomy d. Lack of pain in the perineal area

Nursing

The nurse has instructed an older patient on ways to prevent the development of pneumonia. Which patient statement indicates further instruction is needed?

1. "I will get the influenza vaccine every year." 2. "I will get the pneumococcal vaccine every fall." 3. "I can't get the influenza vaccine due to my allergy to eggs." 4. "I will get the pneumococcal vaccine as soon as I recover from this pneumonia."

Nursing

A client with a known seizure disorder is being treated with phenytoin (Dilantin). The client becomes pregnant. Which recommendation would be appropriate for the nurse to make?

a. "Contact your healthcare provider right away; you should not take Dilantin while pregnant." b. "Make certain that your healthcare provider is aware that you are taking Dilantin through the first trimester." c. "Antiepileptic agents need to be taken during pregnancy to avoid the effect of seizure activity on the fetus." d. "Dilantin is safe during pregnancy as long as you maintain adequate hydration."

Nursing

Causes of Respiratory acidosis include?

a. Lactic acidosis b. Renal failure c. Salicylates toxicity d. Opiod overdose

Nursing