Which assessment findings indicate to the nurse a child has Down syndrome? (Select all that apply.)
a. High arched narrow palate
b. Protruding tongue
c. Long, slender fingers
d. Transverse palmar crease
e. Hypertonic muscle tone
ANS: A, B, D
The assessment findings of Down syndrome include high arched narrow palate, protruding tongue, and transverse palmar creases. The fingers are stubby and the muscle tone is hypotonic not hypertonic.
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A client has a possible connective tissue disease and the nurse is reviewing the client's laboratory values. Which laboratory values and their related connective tissue diseases (CTDs) are correctly matched? (Select all that apply.)
a. Elevated antinuclear antibody (ANA) - Normal value; no connective tissue disease b. Elevated sedimentation rate - Rheumatoid arthritis c. Lowered albumin - Indicative only of nutritional deficit d. Positive human leukocyte antigen B27 (HLA-B27) - Reiter's syndrome or ankylosing spondylitis e. Positive rheumatoid factor - Possible kidney disease
The nurse working in a pediatrician's office receives a call from the mother of a 2 1/2-year-old who reports that her child is active and happy but his appetite has declined, and wants advice on what to do. The nurse tells the mother:
1. "This is normal. Just make sure the food he eats is nutritious." 2. "Take the child's temperature and call back if it is elevated, because he might be sick." 3. "Give the child ibuprofen before meals to help reduce teething pain." 4. "Let's make an appointment for him to be seen today so the doctor can see what's wrong with him."
What nursing action is indicated when a child receiving a unit of packed red blood cells complains of chills, headache, and nausea?
a. Continue the infusion and take the child's vital signs. b. Stop the infusion immediately and notify the physician. c. Slow the infusion and assess for cessation of symptoms. d. Start a dextrose solution and stay with the child.
A hospice nurse manager is presenting a new outlook to the hospice team and uses an example from Covey's work on habits of an effective leader. The term trim tab is used to delineate the small rudder that turns the larger rudder of a ship
Which of the following habits by Covey are suggestive of the trim-tab concept? A) Inspiring others B) Modeling character and competence C) Instilling trust D) Aligning goals and systems to achieve results