Which finding during inspection of the mouth of a 1-month-old infant requires further investigation?
a. A small loose tooth in the lower jaw
b. Tongue overlapping the floor of the mouth
c. Whitish epithelial cells on the roof of the mouth
d. White patches on the tongue that scrape off easily
ANS: B
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A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?
a. A 26-year-old woman who is 8 months pregnant b. A 42-year-old man with gastroesophageal reflux disease c. A 55-year-old woman who is 50 pounds overweight d. A 73-year-old man with type 2 diabetes mellitus
A young mother, who has just delivered her infant two days ago, is scheduled to be discharged today. The client has a particularly painful episiotomy, but refuses to take any medication because she is breastfeeding her infant
Which of the following will the nurse teach the mother to help with episiotomy pain? Select all that apply. Standard Text: Select all that apply. 1. Warm sitz baths 2. Feed the baby while lying flat. 3. Use a doughnut to sit on. 4. Reconsider pain medications. 5. Use cooling analgesic pads on the episiotomy.
A patient has significantly decreased creatinine clearance and an elevated serum creatinine. What does this value indicate to the nurse?
A) Improved renal function B) Kidney damage from disease C) Muscle wasting D) Rhabdomyolysis
A nurse is working in the PACU. Which of the following would be most important for the nurse to do? Select all that apply
A) Checking airway patency B) Positioning the client to prevent aspiration of secretions C) Reviewing the client's surgical and anesthesia records D) Checking the client every 15 to 30 minutes for emergence from anesthesia E) Checking the client's vital signs