The nurse is assessing a baby girl on admission to the newborn nursery. Which of the following findings should the nurse report to the neonatalogist?
A) Intermittent strabismus
B) Startling
C) Grunting
D) Vaginal bleeding
C
Grunting
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A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is
A) constipation. B) dry mouth. C) fatigue. D) hypotension.
The nurse is examining a client who has been diagnosed with a fracture of one floating rib. Of the following ribs, which does the nurse suspect to be fractured?
1. 1 2. 5 3. 9 4. 12
A client diagnosed with the Huntington gene but who has no symptoms asks for options related to family planning. Which is the nurse's best response?
a. "Most clients with the Huntington gene do not pass on Huntington disease to their children." b. "I understand that they can diagnose this disease in embryos. Therefore you could select a healthy embryo from your fertilized eggs for implantation to avoid passing on Huntington disease." c. "The need for family planning is limited because one of the hallmarks of Huntington disease is infertility." d. "Tell me more specifically what information you need about family planning so that I can direct you to the right information or health care provider."
A nurse is preparing to establish a therapeutic relationship with a client. Which is the first essential nursing intervention that the nurse should complete?
A) Clarifying one's own attitudes, values, and beliefs B) Obtaining thorough assessment data C) Determining the client's length of stay D) Establishing personal goals for the interaction