When the nurse is performing an admission physical assessment on the pediatric client who is younger than 30 days old, additional data to note include: Standard Text: Select all that apply
1. Shape of the head.
2. Presence of barrel-chested appearance.
3. Asymmetric gluteal folds.
4. Presence of receding gums.
5. Excursion symmetry or asymmetry of chest on respiration.
1,3
Rationale: The shape of the infant's head should be altered by vaginal delivery for only about 1 week; longer than that might need follow-up.
You might also like to view...
A patient is scheduled for a CT scan of the abdomen with contrast. The patient has a baseline creatinine level of 2.3 mg/dL. In preparing this patient for the procedure, the nurse anticipates what orders?
A) Monitor the patient's electrolyte values every hour before the procedure. B) Preprocedure hydration and administration of acetylcysteine C) Hemodialysis immediately prior to the CT scan D) Obtain a creatinine clearance by collecting a 24-hour urine specimen.
The nurse is caring for a patient with a terminal illness. The patient asks to see his lawyer. The nurse understands that the patient is most likely in which stage of dying?
a. denial c. depression b. bargaining d. acceptance
In accordance with changes by the Joint Commission (TJC), Pleasant Valley Hospital amends its safety practices and policies to emphasize:
a. Safety goals specific to Pleasant Valley. b. Decision-making processes. c. Sufficient staffing for safe care. d. Increased numbers of baccalaureate-prepared RNs.
Stella is assessing the family of her pediatric home health care patient. Stella's is using Neuman's Systems Theory to assess the family's needs. When using this theory, it is important to:
1. Make sure all members of the family are assessed and able to express their personal needs for the care of the patient. 2. Focus solely on the patient's needs. 3. Work with the family and health-care professionals to provide advanced directives. 4. Meet the developmental needs of the child.