The nurse is assessing a child who is on bed rest to see if the child has edema. If the child has edema, there is the nurse most likely to find it upon assessment?
a. ankles c. periorbital areas
b. sacral areas d. hands
B
Feedback
A Incorrect: If the child who is on bedrest has edema, the nurse would not most likely find it in the ankles. If the child is ambulatory, dependent edema will be evident in the ankles.
B Correct: The nurse is assessing a child who is on bed rest to see if the child has edema. If the child has edema, the nurse most likely will find it in the sacral area upon assessment.
C Incorrect: If the child who is on bedrest has edema, the nurse would not most likely find it in the periorbital areas. In most cases, edema in children is manifested initially periorbitally or dependently.
D Incorrect: If the child who is on bedrest has edema, the nurse would not most likely find it in the hands.
You might also like to view...
Ethical decision making is
a. Beyond the legal scope of the practical nurse b. The use of personal values and beliefs to solve problems c. Unnecessary if there are comprehensive physician orders d. Governed by the law
A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic abortions, a procedure which contradicts the nurse's personal beliefs. What is the nurse's ethical obligation to these patients?
A) The nurse should adhere to professional standards of practice and offer service to these patients. B) The nurse should make the choice to decline this position and pursue a different nursing role. C) The nurse should decline to care for the patients considering abortion. D) The nurse should express alternatives to women considering terminating their pregnancy.
A dose of 250 mg in 5 mL has been ordered to be diluted to 40 mL and infused in 60 minutes. A 15-mL flush follows. The administration set is a microdrip
Calculate the milliliters/hour (mL/hr)._____ a. 55 b. 40 c. 45 d. 4
The patient is a gravida 6, para 1
She is admitted after a cesarean section after an amniotic embolus. Her heart rate (HR) is more than 150 beats/min with a systolic BP less than 80 mm Hg. Her temperature is 38 °C, and her condition has caused her to develop prerenal azotemia. The patient was fluid resuscitated through a double-lumen catheter, which was placed into her right femoral access, and started on vasopressors with a fair response (BP, 80/50 mm Hg; HR, 122 beats/min). Because of her diagnosis and a concern regarding fulminating sepsis, the patient was begun on CVVH. Identify three complications of CVVH therapy. a. Fat emboli, increased ultrafiltration, and hypertension b. Hyperthermia, overhydration, and power surge c. Air embolism, decreased inflow pressure, and electrolyte imbalance d. Blood loss, decreased outflow resistance, and acid-base imbalance