As part of the newborn assessment, the nurse inspects the gluteal and popliteal folds of the hips to assess for:
A. opisthotonos.
B. neurologic development.
C. congenital hip dysplasia.
D. muscle development.
C
Asymmetric skin folds warrant further evaluation to confirm or rule out hip dysplasia.
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During the assessment of a client's eyes, the nurse suspects that the client has ptosis. Which assessment data caused the nurse to come to this conclusion?
1. The palpebral conjunctiva is exposed. 2. The iris and cornea are reddened. 3. The eyelid is drooping. 4. The eyelids are swollen and puffy.
The physician is treating a child with meningitis with a course of antibiotic therapy. The nurse assures the parents that the child will be out of isolation when:
a. the course of antibiotics is complete. b. a negative CNS culture is obtained. c. the antibiotics have been initiated for 24 hours. d. the child has no symptoms of the disease.
Which historical fact is of greatest value to a nurse who is interviewing a client being admitted for possible mitral regurgitation?
A) Congenital neural tube defect B) Rheumatic fever C) One-pack-a-day smoker for 20 years D) Pacemaker inserted 2 years ago
A stem questions states: "A client admitted with BUN of 64 and a creatinine of 6 would require which nursing actions first?" What cognitive level does this stem question indicate?
a. Level 1, recall question b. Level 2, analysis question c. Level 3, synthesis question d. Level 4, advanced question