The nurse is assessing an 11-month-old infant during a well-baby check-up. Which neurologic reflexes does the nurse expect the infant to demonstrate during the visit?
1) Babinski and tonic neck
2) Babinski and sucking
3) Tonic neck and Moro
4) Plantar grasp and Moro
ANS: 2
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Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-year-old child?
a. S3 when sitting up b. Persistent tachycardia above 150 beats per minute c. Murmur at the second left intercostal space when supine d. Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line
Nurse Stacey is a self-admitted drug addict and has been a heavy abuser of codeine. Stacey and the unit manager decide that changes have to occur. Stacey enrolls in an addiction program, and the manager has her transferred to a drug-free area
What other strategies might be appropriate? a. The manager could refer Stacey to the Human Resources Department. b. The manager could assist in monitoring Stacey's progress. c. The manager could counsel Stacey if Sta-cey has formed a trusting relationship with her. d. Stacey needs to be asked not to involve her family in the recovery program be-cause this is a work-related situation.
You are conducting a preschool examination on a 5-year-old child. Which injury would most likely raise your suspicion that the child was being abused?
a. Recent bruising over both knees b. A healed laceration under the chin c. A bruise on the right shin with associated abrasion of tissue d. Bruises in various stages of resolution over body soft tissues
A clinic nurse is teaching a group of teens taking tetracycline for acne. Which teaching points should take priority?
Standard Text: Select all that apply. 1. Take tetracycline on an empty stomach to increase absorption. 2. Tetracycline may cause photosensitivity, making the skin susceptible to sunburn. 3. Tetracycline may cause vaginal yeast infection in women who are using oral contraceptives. 4. Tetracycline is one of the safest antibiotics to take during pregnancy. 5. Tetracycline commonly causes diarrhea. The client should start a clear liquid diet and slowly resume a normal diet.