During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The nurse suspects which condition?
a. Rickets
b. Dehydration
c. Mental retardation
d. Increased intracranial pressure
ANS: B
Depressed and sunken fontanels occur with dehydration or malnutrition. Mental retardation and rickets have no effect on the fontanels. Increased intracranial pressure would cause tense or bulging and possibly pulsating fontanels.
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Two hours after admission for asthma exacerbation, the 10-year-old boy is lethargic with mottled skin color. He has increased the use of accessory muscles and demonstrates nasal flaring
He is unable to speak and his respiratory rate has increased. The nurse would suspect: 1. Improvement in his condition is imminent. 2. Respiratory failure is imminent. 3. The medical diagnosis is incorrect and the child should be diagnosed with pneumonia. 4. The child may be receiving too much oxygen, which is a respiratory depressant.
How often must the homecare treatment plan be recertified in order for the patient to continue to receive services?
a. Every 3 days b. Every 60 days c. Every 10 days d. Every 2 weeks
An operating room nurse is assisting during a vascular surgery procedure, which is being performed using a laser scalpel. What are the advantages offered by laser surgery as compared to conventional surgeries?
A) Reduces scarring B) Reduces the need for anesthetic C) Decreases the time necessary to perform the procedure D) Eliminates the need for sutures or staples
The nurse is assessing the skin of a newborn infant and notes a bright red, raised lesion on the lateral aspect of the thigh. The lesion is 4.5 centimeters in diameter. When light pressure is applied to the lesion, the site does not blanch
The mother expresses concern about the appearance of this site, and asks the nurse if it should be removed. Which of the following would be the best response for the nurse in this situation? 1. "Your pediatrician can make a surgical referral for you.". 2. "It really is not that noticeable.". 3. "You should be happy that your baby is healthy overall.". 4. "These types of lesions usually disappear by the time a child turns 10 years old.".