The nurse is assisting with an assessment of Ortolani maneuver on the infant. The sign is positive. What is the procedure assessing?

A) Spinal column movement
B) Shoulder movement
C) Clavicles for dislocation
D) Hip for dislocation


Ans: D

Nursing

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The hospital unit is very busy and nursing is understaffed. The nurse recognizes that death is imminent in one of her assigned patients. Nursing behaviors to offer family support would include: Standard Text: Select all that apply

1. Using active listening techniques when in the child's hospital room. 2. Sitting in the room as time permits and looking the parents in the eye. 3. Avoiding tears in the child's room. 4. Offering to call and notify family. 5. Recognizing that these parents' needs are greater than the other patients and staying with the parents.

Nursing

The nurse is talking to a patient who was involved in a motor vehicle accident. The patient asks the nurse why there was no sensation of pain at the time of the accident. The best explanation would be:

a. "Vasopressin was released to decrease pain sensation." b. "Endorphins are released during a time of stress to reduce pain." c. "Alcohol reduces the perception of stress when injury occurs." d. "You probably have chronic high levels of cortisol to help with chronic pain."

Nursing

Many medications list side effects that include dry mouth, constipation, and urinary retention. What kinds of effects are these?

a. Alpha adrenergic b. Anticholinergic c. Beta adrenergic d. Sympathetic

Nursing

Which infant should be seen immediately by a health care provider?

a. A 1-week-old infant with a diaper rash b. A 1-month-old infant with an axillary temperature of 99.8° F (37.7° C) c. A 3-week-old breast-fed infant who has had two loose stools d. A 2-week-old infant with nasal congestion and respirations of 64 breaths/min

Nursing