Which comment made by a parent of a 1-month-old would alert the nurse about the presence of a congenital heart defect?
a. "He is always hungry."
b. "He tires out during feedings."
c. "He is fussy for several hours every day."
d. "He sleeps all the time."
ANS: B
Fatigue during feeding or activity is common to most infants with congenital cardiac problems.
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The public health nurse is participating in a health fair, and she interviews a woman with a history of hypertension who is currently smoking one pack of cigarettes per day
She has had no manifestations of coronary artery disease (CAD) but a recent low-density lipoprotein (LDL) level of 154 mg/dL was found. Based on her assessment, the nurse would expect that this patient would be treated in what way? A) Drug therapy and smoking cessation B) Diet and drug therapy C) Diet therapy only D) Diet therapy and smoking cessation
To palpate the anterior thorax, you should use the finger pads of your dominant hand and
a. start at the apex of the right lung (above the clavicle), move down to each rib and intercostal space, and then repeat on the left. b. palpate any areas of tenderness first. c. start at the base of the right lung, move upward to each rib and intercostal space, and then repeat on the left. d. have the patient lift the arms over the head to stretch the skin and enhance detection of any abnormal findings.
When developing the plan of care for an infant with congenital adrenal hyperplasia (CAH), which intervention would be most important as a primary prevention measure?
A) Preparing the infant for surgery B) Preventing salt wasting in the infant C) Ensuring that parents understand the infant's condition D) Requesting referrals for counseling services for the family
Which of the following groups is most likely to experience an unintentional injury resulting from a fall?
a. Adults who are always in a hurry, rushing from here to there b. Adults who are older than 65 years c. Toddlers who are just learning to walk d. Young children who run around without looking where they are going