A nurse assesses the pulses of an infant and notes a weakness of the femoral pulses. Which of the following would the nurse suspect?
A) Right ventricular enlargement
B) Sinus arrhythmia
C) Coarctation of the aorta
D) Patent ductus arteriosus
C
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The nurse measures the urine output of a patient who requires a bedpan to void. Which action should the nurse take first? Put on gloves and:
a. Have the patient void directly into the bedpan b. Pour the urine into a graduated container c. Read the volume with the container on a flat surface at eye level d. Observe the color and clarity of the urine in the bedpan
An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include: (Select all that apply.)
a. tumors of the middle ear. b. cerumen impaction. c. infections of the external and middle ear. d. age-related hearing impairment. e. excessive and loud noise.
A 60-year-old female complains of several episodes of dizziness and nausea that started this morning. She denies trauma, falling, or loss of consciousness
She has a 5-year history of hypertension and takes a beta blocker daily. On physical examination, there are no neurologic deficits or any abnormal findings and ECG is normal. Which of the following tests should be performed? A. Test the patient for Kernig's sign B. Test the patient for Brudzinski sign C. Perform the Hallpike maneuver D. Assess for Babinski's sign
A 14-year-old client voices concern that his testes seem to have enlarged over the past few months. Which response by the nurse would be most appropriate?
A) "Don't worry; this can be treated through surgery." B) "What you are experiencing are normal pubescent physical changes." C) "Don't worry. Their size will gradually decrease." D) "I think you need to see a specialist as soon as possible."