Which of the following is true regarding caput succedaneum?
a. It is a subperiosteal collection of blood.
b. It is firm and its edges are well defined.
c. It develops several days after delivery.
d. It is seen over the presenting part of the head.
D
Caput succedaneum is seen over the presenting part of the head during delivery as the skull passes through the pelvis; the scalp usually feels edematous to touch, which fades after a few days.
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Which of the following would be an example of the nurse practicing fidelity?
A) Regulating visitors B) Staying with the patient during his or her death as promised C) Withholding information as requested D) Providing continuity of care
The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis Impaired gas exchange r/t impaired pulmonary blood flow from embolus?
a. The patient will maintain pulse oximetry values of at least 95% on room air. b. The patient will verbalize understanding of ordered anticoagulants. c. The patient will report chest pain of no greater than 3 on a 1-10 scale. d. The patient will ambulate 50 feet in hallway without shortness of breath.
The triage nurse in the ED is assessing a patient who has presented with complaint of pain and swelling in her right lower leg
The patient's pain became much worse last night and appeared along with fever, chills, and sweating. The patient states, "I hit my leg on the car door 4 or 5 days ago and it has been sore ever since." The patient has a history of chronic venous insufficiency. What intervention should the nurse anticipate for this patient? A) Platelet transfusion to treat thrombocytopenia B) Warfarin to treat arterial insufficiency C) Antibiotics to treat cellulitis D) Heparin IV to treat VTE
A comprehensive assessment process is needed for clients with gender disorders. The nurse would include which of the following?
A) Cognition assessment, interpersonal assessment, but not behavioral assessment B) Behavioral assessment, affect assessment, interpersonal assessment C) Affect assessment, intrapersonal assessment, sexual history D) Sexual history, affect assessment, but not cognition assessment