A nurse notices a large, flat bluish capillary area on a neonate's cheek and documents this finding as a:
a. Mongolian spot.
b. Stork bite (telangiectasis).
c. Port-wine stain (nevus flammeus).
d. Strawberry hemangioma.
ANS: C
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Which of the following often results with a laissez-faire leader?
1. Job satisfaction 2. Chaos in the system 3. A free exchange of ideas 4. Every person is seen as an individual.
The client asks the nurse why his testes are contracted at times and not at others. The nurse should explain to the client that:
1. the testes will contract close to the body when exposed to cold. 2. the testes contract when the parasympathetic system is triggered. 3. the testes will relax in response to increased blood levels of androgen. 4. the testes contract during ejaculation.
Which nursing action should be implemented to increase the comfort of a patient with oral hair leukoplakia?
a. Allow aspirin to melt in the mouth and then wash out with warm water. b. Encourage mouth rinses with warm salt water several times a day. c. Limit intake of ice cream and other cold foods. d. Offer fluids through a straw.
The client has a medical condition that often results in the development of metabolic acidosis. The nurse should observe this client for the development of which breathing pattern as a result of this condition?
A) Cluster B) Kussmaul's C) Cheyne-Stokes D) Biot's