The nurse is conducting a physical examination of a child with suspected Kawasaki disease. Which of the following findings is indicative of this condition?
A) Acne, hirsutism, or striae
B) Dry, fissured lips and strawberry tongue
C) Malar rash
D) Café au lait spots
B
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A 6-week-old baby is brought to the clinic for a follow-up visit after having surgical repair of a myelomeningocele. His head circumference was 33 cm (12 inches) at birth. Now the nurse assesses his head circumference at 36 cm (14.1 inches)
What action by the nurse is most appropriate? A. Assess the child for signs of hydrocephalus. B. Document the measurement in the child's chart. C. Educate the parents on possible shunt placement. D. Inquire about signs of increased intracranial pressure.
The nurse is providing care to a pediatric patient who suffered an ankle sprain. Which interventions are appropriate to include in the patient's plan of care? (Select all that apply.)
A. Apply an Ace wrap to apply pressure and reduce swelling of the joint. B. Apply heat to the extremity for the first 48 hours at 15-minute intervals. C. Elevate and move the affected joint to reduce swelling and stiffness. D. Immediately perform range-of-motion exercises on the extremity. E. Place ice on the injury for 15 minutes at a time for the first 1 to 2 days.
The nurse assesses a patient's ability to perform self-care activities as well as more complex social and household activities. The result of this assessment provides the patient's:
a. physical status. b. emotional status. c. health status. d. functional status.
Which of the following are signs and symptoms of atelectasis?
a. Diminished chest wall movement b. Tachypnea c. Bradypnea d. Trachea deviated ipsilaterally e. Wheezes, rhonchi, and crackles f. Resonance over affected lung