Assessment of newborn reveals a large protruding tongue, slow reflexes, distended abdomen, poor feeding, hoarse cry, goiter and dry skin. Which of the following would the nurse suspect?
A) Phenylketonuria
B) Galactosemia
C) Congenital hypothyroidism
D) Maple syrup urine disease
C
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The nurse reassesses a client's anxiety level 30 minutes after administering lorazepam (Ativan) for anxiety. This is an example of which phase of the nursing process?
a. Assessment c. Planning b. Implementation d. Evaluation
The nurse observes drainage from a client's ears after a head injury, and suspects a cerebral spinal fluid (CSF) leak. Which of the following descriptions would best support this finding?
1. Yellow without sediment 2. Blood-tinged without sediment 3. Clear, colorless 4. Pink without sediment
In taking the history of a person with hepatitis A, an appropriate question for the nurse to ask is:
a. "If using drugs, do you share needles?" b. "Do you always practice safe sex?" c. "Have you traveled to Canada in the last month?" d. "Do you eat shellfish or oysters often?"
A patient tells the nurse, "The reason I use drugs is because everybody nags me to do things that don't interest me." The patient shows use of which defense mechanism?
a. Sublimation b. Introjection c. Identification d. Rationalization