A nurse is caring for a child with growth hormone deficiency. Which assessment finding would be most characteristic of this disorder?
1. Absence of abdominal fat
2. Mature facial features
3. Accelerated skeletal maturation
4. Decreased muscle mass
4
Rationale:
1. A child with growth hormone deficiency will have "ripply" abdominal fat, decreased muscle mass, delayed skeletal maturation, and youthful facial features.
2. A child with growth hormone deficiency will have "ripply" abdominal fat, decreased muscle mass, delayed skeletal maturation, and youthful facial features.
3. A child with growth hormone deficiency will have "ripply" abdominal fat, decreased muscle mass, delayed skeletal maturation, and youthful facial features.
4. A child with growth hormone deficiency will have "ripply" abdominal fat, decreased muscle mass, delayed skeletal maturation, and youthful facial features.
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How do seasoned nurse researchers, years away from clinical practice, select meaningful research questions? (Select all that apply.)
a. They continue to conduct research in the same general areas in which they have previously conducted research, with one project leading into the next. b. They cannot do so, because they are not working bedside nurses. c. They establish working relationships with clinical nurses, sharing authorship of research publications. d. They collaborate with novice researchers who are closer to the clinical world. e. They use research methods that allow data collection through only observation.
In what sequence would a client move through the process of admission to disposition in emergency care? (Place in order of priority.)
a. Client is transported to the medical-surgical floor. b. Emergency department (ED) nurse gives a report on the client. c. Paramedics arrive and start IV access. d. Nurse and other health care provider(s) perform assessment. e. Emergency medical technicians (EMTs) provide oxygen and vital sign monitoring. f. Laboratory technician obtains blood specimens.
The nurse participates in the patient's resuscitation. Which patient assessment finding does the nurse determine to be an undesirable event during cardiopulmonary resuscitation (CPR)?
a. Bruising is present over the anterior tho-rax. b. The abdomen has become distended. c. The patient has an advance directive. d. An airway is in place without gagging.