Which procedure should be performed first during the physical exam of the newborn?
1) Measurement of the head circumference
2) Auscultation of the heart and lungs
3) Evaluation of the reflexes
4) Otoscopic exam
ANS: 2
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A client has an ingrown toenail. About what self-management measure does the nurse teach the client?
a. Long-term antibiotic use b. Shoe padding c. Toenail trimming d. Warm moist soaks
A client and his wife are visiting in the day room of an inpatient psychiatric unit when a client with acute psychosis experiencing auditory hallucinations sits down next to them and begins talking to the "voices
" Which of the following nursing actions is most appropriate? 1. Take the client with psychosis by the hand and lead the client to another area in the day room. 2. Announce over the intercom that visiting hours are over. 3. Observe the situation and intervene only if the client with psychosis becomes aggressive. 4. Remind the client with psychosis to respect the privacy of the other client and his wife.
The nurse knows the layer that delivers the blood supply to the dermis, provides insulation, and has a cushioning effect is:
a. stratum germinativum. b. epidermis. c. subcutaneous layer. d. stratum corneum.
The physician has ordered a cholinesterase inhibitor medication for the client with dementia. The family asks if this medication will cure the client. The best response by the nurse is which of the following?
1. Cholinesterase inhibitors have positive effects when used in the early stage of Alzheimer's disease. 2. Cholinesterase inhibitors eradicate some of the symptoms associated with Alzheimer's disease. 3. The drug should be taken on an empty stomach. 4. Cholinesterase inhibitors shorten the early stages of Alzheimer's disease.