Hydrocephalus is suspected in a 4-month-old infant. Which would the nurse expect to assess?
A) Sunken fontanels
B) Diminished reflexes
C) Lower extremity spasticity
D) Skull symmetry
Ans: C
Hydrocephalus is manifested by spasticity of lower extremities, bulging fontanels, brisk reflexes, and skull asymmetry.
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A patient will be starting vitamin D supplements. The nurse reviews his medical record for contraindications, including which condition?
a. Renal disease b. Cardiac disease c. Hypophosphatemia d. There are no contraindications to vitamin D supplements.
A client who has had a stroke with left-sided hemiparesis has been referred to a rehabilitation center. The client asks why rehabilitation is necessary at this point. What is the nurse's best response?
A. "Your physician has ordered this treatment for you." B. "If you do not have rehabilitation, you may never walk again." C. "Rehabilitation will help you to function at the highest level possible." D. "Rehabilitation will reverse any physical deficits caused by the stroke."
The Korotkoff phase where a crisp intense tapping occurs with each heartbeat is:
a. Phase I. b. Phase II. c. Phase III. d. Phase IV.
The new graduate is learning about advanced practice nursing. Which of the following situations best illustrates an advanced practice nursing role?
1. An experienced registered nurse who is the manager of a large obstetrical unit 2. A registered nurse who is the circulating nurse at surgical (cesarean) deliveries 3. A clinical nurse specialist who is working as a staff nurse on a mother–baby unit 4. A nurse practitioner who is consulting with a physician in the newborn nursery 5. A nurse–midwife attending vaginal deliveries of uncomplicated pregnancies