While assessing the child, the nurse uses palpation to assess:(Select all that apply) Standard Text: Select all that apply
1. Texture of hair
2. Temperature
3. Vibration
4. Mobility
5. Color
1,2,3,4
Rationale: Texture of hair can be assessed using palpation
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A patient on continuous venovenous hemofiltration with dialysis experiences a significant decrease in blood pressure. Which intervention would be most appropriate for the nurse to carry out?
A) Decrease the amount of fluid removal. B) Decrease the infusion rate of replacement fluid. C) Administer heparin. D) Use a blood warmer to warm the dialysis lines.
What is the etiology of autoimmune diseases based on?
a. Reaction to a "superantigen" b. Immune system producing no antibodies at all c. T cells destroying B cells d. B and T cells producing autoantibodies
A middle-aged client states to the nurse, "I have noticed a slight tremor of my left hand when at rest. I think I might have Parkinson disease because my mother had it and passed away because of respiratory failure."
Which response by the nurse is the most appropriate? A) "Having a close relative, such as your mother, with the illness can increase your chance of developing it as well." B) "You should not worry, as it has a higher prevalence in males." C) "It is unlikely that you have the same illness as your mother." D) "You probably do not have it, as your mother was probably exposed to a toxin that caused the disease."
The nurse is caring for a patient who had a colostomy placed 5 days earlier. The nurse notes that the stoma is red and moist. Which action should the nurse take?
a. Notify the physician immediately. b. Apply pressure. c. Note the condition of the stoma in her notes. d. Change the appliance pouch.