During a routine physical assessment for a 9-month-old client, the nurse notes swelling in the ankles. The nurse presses against the ankle bone for 5 seconds, then releases the pressure, noticing a markedly slow disappearance of the indentation
Which system requires a more in-depth assessment based on these data? 1. Renal system
2. Musculoskeletal system
3. Respiratory system
4. Integumentary system
1
Explanation:
1. Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney disorder, so the renal system is affected. The renal system would be suspected before the respiratory, musculoskeletal, or integumentary system.
2. Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney disorder, so the renal system is affected. The renal system would be suspected before the respiratory, musculoskeletal, or integumentary system.
3. Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney disorder, so the renal system is affected. The renal system would be suspected before the respiratory, musculoskeletal, or integumentary system.
4. Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney disorder, so the renal system is affected. The renal system would be suspected before the respiratory, musculoskeletal, or integumentary system.
You might also like to view...
The nurse is working in a day care center for infants with special needs where there recently has been an outbreak of viral conjunctivitis. Which instruction by the nurse to the staff is the best way to stop the spread of this infection?
1. Require all children with conjunctivitis to stay home until there is a reduction in drainage. 2. Require all children with an infection to be on otic antibiotics for at least 24 hours prior to returning to school. 3. Isolate all children with conjunctivitis in the same room away from those who are not infected. 4. Perform hand hygiene after providing personal care for all children.
When the effect of two medications combined is greater than the effects of the medications when given separately, the two medications are said to have a(n):
a. synergistic effect. b. anaphylactic reaction. c. medication interaction. d. idiosyncratic reaction.
You are conducting a health history for 6-year-old child from his mother. Which fact obtained from the mother is most likely to prompt you to examine the child closely for current related health problems?
a. His older sister died of pneumonia. b. His older brother has attention-deficit hyperactivity disorder. c. His mother gained 35 pounds during her pregnancy with the child. d. He attends an after-school program each day until she picks him up at around 5:30 p.m.
A client is being transferred to the postanesthesia care unit (PACU) after surgery. The client has an endotracheal tube (ET) in place
On assessment, the client has oxygen saturation of 95%, res-piratory rate of 14 breaths/min, and asymmetric chest wall expansion. What is the nurse's best action? a. Attempt to awaken the client. b. "Bag" the client with a resuscitation bag. c. Increase the client's fraction of inspired oxygen (FIO2). d. Auscultate lung sounds bilaterally.