A nurse assessing a toddler should consider which finding abnormal?
a. Lumbar lordosis
b. Cyanotic nailbeds
c. A protruding abdomen
d. A convex lumbar curve
B
Normal assessment findings in a toddler include lumbar lordosis (convex lumbar curve) and a protruding abdomen. Cyanotic nailbeds is an abnormal finding.
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Gentamicin ear drops are prescribed for a 4-year-old child. How would the nurse position the auricle when administering the ear drops?
a. Up and back b. Down and back c. Up and out d. Down and out
The nurse caring for a client with acute infective endocarditis would frequently assess for
a. cardiac murmurs. b. elevation of blood pressure. c. pulse oximetry. d. urine output.
A 48-year-old woman has a body mass index (BMI) of 31 kg/m2, a normal C-reactive protein level, and low serum transferrin and albumin levels. The nurse will plan patient teaching to increase the patient's intake of foods that are high in
a. iron. b. protein. c. calories. d. carbohydrate.
The client who has been experiencing slight anxiety is now communicating in a manner that makes it difficult for the nurse to understand the client's needs. The nurse suspects the client has progressed to which anxiety level?
1. Mild 2. Moderate 3. Severe 4. Panic