Which action has the highest priority when measuring and weighing a 5-month-old child?
A) Wipe the scale with an alcohol-based cleanser
B) Cover the scale with a clean piece of paper or paper towel
C) Straighten the child's legs and hold the knees flat
D) Hold one hand within an inch of the child
Ans: D
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When the nurse enters the client's room, which assessments would the nurse perform in order to confirm this report? 1. Blood pressure and apical pulse assessments 2. Blood pressure and radial pulse assessment 3. Blood pressure and respiratory rate assessment 4. Blood pressure and radial-apical pulse assessment
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The triage nurse assesses the client and finds a butterfly rash over the bridge of nose and on the cheeks. Based on this data, which diagnosis does the nurse anticipate? A) Systemic lupus erythematosus B) Fibromyalgia C) Lyme disease D) Gout
A patient is admitted to the unit with complaints of abdominal pain and a history of myasthenia gravis. During the health history the nurse determines that the patient has been taking neostig-mine (Prostigmin)
The nurse should further assess the patient for a. bradycardia, diaphoresis, and urinary urgency. b. tachycardia, diaphoresis, and urinary retention. c. xerostomia, diaphoresis, and mydriasis. d. increased gastric motility, mydriasis, and urinary retention.
A patient admitted to the unit for treatment of leprosy has been prescribed clofazimine (Lamprene). Which clinical finding would most concern the nurse?
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