By what age does the posterior fontanel usually close?
a. 6 to 8 weeks c. 4 to 6 months
b. 10 to 12 weeks d. 8 to 10 months
ANS: A
The bones surrounding the posterior fontanel fuse and close by age 6 to 8 weeks. Ten weeks or longer is too late.
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A nurse performs passive range-of-motion exercises on a semiconscious client and meets resistance while attempting to extend the right elbow more than 45 degrees. Which action should the nurse take next?
a. Splint the joint and continue passive range of motion to the shoulder only. b. Progressively increase joint motion 5 degrees beyond resistance each day. c. Apply weights to the right distal extremity before initiating any joint exercise. d. Continue to move the joint only to the point at which resistance is met.
The nurse attempts to withdraw a blood specimen; but, after the venipuncture, blood does not flow into the Vacutainer® tube. Which is a suitable nursing response?
1. Apply pressure to vein above venipuncture. 2. Remove needle and repeat the venipuncture. 3. Tighten the tourniquet to build up more blood. 4. Move needle slightly to observe for blood flow.
A nurse is preparing to conduct an assessment of a 79-year-old woman who has come to the clinic for evaluation. When performing this assessment, which of the following would be most appropriate for the nurse to do? Select all that apply
A) Dim any lights that appear too bright. B) Face the patient from the side. C) Use short, simple sentences. D) Focus on one topic at a time. E) Speak slowly in a shouting tone.
Which patient will cause the nurse to select a nursing diagnosis of Impaired physical mobility for a care plan?
a. A patient who is completely immobile b. A patient who is not completely immobile c. A patient at risk for single-system involvement d. A patient who is at risk for multisystem problems