Which finding would the nurse expect when assessing children who have Klinefelter syndrome?
1. Increased facial hair in males
2. Small breast size in females
3. Decreased testicular size in males
4. Misshapen ears in females
3
Rationale 1: A more common finding is decreased facial hair.
Rationale 2: Klinefelter syndrome occurs only in males.
Rationale 3: Males with Klinefelter syndrome often have decreased testicular size.
Rationale 4: Klinefelter syndrome occurs only in males.
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A patient is admitted to the unit after an automobile accident. The nurse begins the mental status examination and finds that the patient has dysarthric speech and is lethargic. The nurse's best approach regarding this examination is to:
a. Plan to defer the rest of the mental status examination. b. Skip the language portion of the examination, and proceed onto assessing mood and affect. c. Conduct an in-depth speech evaluation, and defer the mental status examination to another time. d. Proceed with the examination, and assess the patient for suicidal thoughts because dysarthria is often accompanied by severe depression.
The nurse teaches a client self-care measures after a hysterectomy, which include avoiding
a. participating in aerobic exercises. b. dancing. c. riding in a car. d. walking for short distances.
A nurse is told that a screening test has high specificity. Which of the following is the best inter-pretation of this information?
a. The test provides precise and consistent readings. b. The test accurately identifies those with the condition or trait. c. The test accurately identifies those with-out the trait. d. The test has a high level of false positives.
When performing a quick assessment to identify life-threatening problems in a trauma patient, the nurse would include which assessments under the D–Disability section? Note: Credit will be given only if all correct choices and no incorrect
choices are selected. Select all that apply. 1. Ability to respond to painful stimuli 2. Vital signs 3. Ability to respond to verbal command 4. Level of consciousness or unconsciousness 5. Oxygen saturation levels