A 3-year-old girl is being seen because of a foul vaginal odor. To inspect the vaginal vault, you should first:
a. insert a pediatric vaginal speculum.
b. place the child prone and in the fetal posi-tion.
c. insert a cotton-tipped applicator and press down.
d. pull the labia forward and slightly to the side.
D
Applying anterior labial traction allows the hymenal opening and the interior of the vagina to become visible, almost to the cervix. The presence of a foreign body will be visible with this maneuver.
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Of the following group of individuals, which one has the least risk for development of restrictive lung disease?
1. 75-year-old male with alpha-antitrypsin (AAT) deficiency 2. 70-year-old female with severe kyphoscoliosis 3. 56-year-old morbidly obese male 4. 40-year-old female with newly diagnosed sarcoidosis
The nurse is caring for a Hindu patient receiving hospice care. Which does the nurse expect to facilitate for the family when the patient dies?
a. Allowing the family members to wash and prepare the patient's body b. Helping the family arrange for burial of the body c. Communion and prayers by any type of minister or priest d. Discussion of the finality of death
A nurse is going to visit a homebound person described as the "oldest old.". The nurse would expect:
1. The client to have Alzheimer's disease 2. The person to be more than 85 years old. 3. The client will have a chronic disease 4. The client will be in an assisted-living community.
"My father has been dead for over a year and my mother still can't talk about him without crying. Is that normal?" What is the best response by the nurse?
A) "The inability to talk about your dad without crying, even after a year, is still considered normal." B) "It is not normal. Your mother needs to see a therapist about her grief." C) "Everyone deals with loss differently. You just need to be patient with your mother." D) "Did your mother cry a lot before your father died?"