A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?
a. Radiator heating system in the home
b. The child drinking from a cup
c. The child experiencing a temper tantrum
d. A decorative bowl filled with colorful marbles on the coffee table
Answer: d. A decorative bowl filled with colorful marbles on the coffee table
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The nurse working in an urgent care center admits a 5-year-old who fell while riding her bicycle. The child is awake but sleepy, which could be explained by it being close to bedtime
The nurse assesses pupil response and finds the left eye responds rapidly and constricts to 2 mm, while the right eye responds more slowly and constricts to 5 mm. The nurse will: 1. Prepare to transfer the child to the hospital. 2. Instruct the parents to wake the child every two hours and assess mentation. 3. Administer ordered narcotic analgesic for pain. 4. Encourage the child to cough and deep-breathe.
The nurse is assessing a patient who has liver disease for jaundice. Which of these assessment findings is indicative of true jaundice?
a. Yellow patches in the outer sclera b. Yellow color of the sclera that extends up to the iris c. Skin that appears yellow when examined under low light d. Yellow deposits on the palms and soles of the feet where jaundice first appears
The nurse manager is given a fax machine to receive physician orders and fax patient information to physicians' offices. Where is the best place for the nurse manager to place the new machine?
1. In the hallway away from patient rooms 2. Behind the nurse's desk on the unit 3. In the manager's office 4. In the supply room
Which side effect of fluoroquinolones is more likely to occur among older adults?
a. Fever b. Hair loss c. Tendon rupture d. Low blood pressure