Which finding in an infant may indicate lower spinal deformities?
a. Perirectal redness
b. Shrunken buttocks
c. Rectal prolapse
d. Dimpling in the pilonidal area
D
Sinuses, tufts of hair, and dimpling in the pilonidal area may indicate lower spinal deformities such as a pilonidal cyst.
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A patient's daughter died in a ski accident. The patient stated, "I cannot believe my daughter has died." According to Worden's tasks of mourning, the patient is experiencing task:
a. I. b. II. c. III. d. IV.
The nurse is admitting an older patient who requires a cane for ambulation, bilateral hearing aids, and monthly vitamin B12 injections. The daughter of the patient tells the nurse that the patient no longer remembers how to use a toothbrush or turn on the television set. Which information requires further assessment?
1. Vitamin deficiency 2. Loss of hearing 3. Assistive device for ambulation 4. Cognitive change
A nurse is conducting worksite health education classes. The nurse informs the participants that in order to prevent heart disease, the American Heart Association recommends which amount of exercise?
a. 10-20 minutes every day. b. 20-30 minutes three to five times a week. c. 30-60 minutes every day. d. 30-60 minutes on most days of the week.
The nurse is assigning an unlicensed assistive personnel (UAP) to work with a client who has a hearing aid. Which action by the UAP is inconsistent with appropriate delegation? The nurse asks the UAP to
a. cleanse the ear mold if needed with mild soap and water. b. evaluate how well the client understood the nurse's earlier instructions. c. help the client insert the ear mold into the ear. d. turn the hearing aid off before removing it at bedtime.