Which of the following may be suggestive of Down syndrome?
a. Drusen bodies
b. Papilledema
c. Narrow palpebral fissures
d. Prominent epicanthal folds
D
Prominent epicanthal folds, or slanting of the eyes, may be normal in Asian infants, but in other ethnic groups it may indicate Down syndrome.
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A nursing instructor is teaching about the impaired nurse and the consequences of this impairment. Which statement by a student indicates that further instruction is needed?
1. "The state board of nursing must be notified with factual documentation of impairment." 2. "All state boards of nursing have passed laws that, under any circumstances, do not allow impaired nurses to practice." 3. "Many state boards of nursing require an impaired nurse to successfully complete counseling treatment programs prior to a return to work." 4. "After a return to practice, a recovering nurse may be closely monitored for several years."
A male patient tells a nurse that he drinks a six-pack of beer a day. When the nurse begins to question him further about his alcohol consumption, he says, "You sound like my wife. She's always nagging me to quit
It's only beer!" Which response by the nurse is most appropriate? a. "Because the alcohol in beer is diluted in a larger volume, it is absorbed more slowly." b. "Have you considered switching to wine? It has chemicals that protect your heart." c. "The amount you drink is equivalent to six shots of whiskey each day." d. "You could try to cut the amount in half to a level that is better for your health."
A nurse is performing an initial admission assessment on a patient. The patient states that he takes an herb named chamomile. The nurse recognizes that chamomile is used to treat
1. Insomnia. 2. Migraine headaches. 3. Hypercholesterolemia. 4. Irritable bowel syndrome.
A client is admitted to the labor and birth room in active labor; contractions are 4 to 5 minutes apart and last for 30 seconds. The nurse needs to perform a detailed assessment. When is the best time to ask questions or do procedures?
a. After the contraction is over b. When it is all right with the coach c. During increment of next contraction d. After administration of analgesic-anesthetic