A neonate is brought to the nursery three hours after birth for an assessment. The child was diagnosed with a unilateral club foot in utero. During the nursing assessment, a priority will be assessing:
1. The size of the quadricep muscles in comparison to the calf muscles.
2. Dorsiflexion and plantar flexion of the affected foot.
3. Family history.
4. Vital signs.
2
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1. The difference in muscle mass at this age will not be a contributing factor to the child's status.
2. The amount of flexion can indicate the severity of the malformation.
3. Family history does not influence the care for this patient.
4. Vital signs will need to be taken, but the focus should be on the flexion capabilities of the foot.
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Because of the spouse's "need" for the medication, the patient "has to" do all the yard work, child care, and meal preparation. How would the nurse describe the patient's behavior? A. Enabler B. Impaired caregiver C. Inadequate dyad partner D. Overstressed parent
The nurse is interviewing a client who reports that he drinks alcohol when snorting cocaine. This type of drug use is called:
1. Drug addiction 2. Polysubstance use 3. Drug and alcohol abuse 4. Indiscriminate drug use
If a patient with diabetes dislikes something on the tray, you may substitute
A. food from the same food group. B. low-fat or low-calorie foods. C. food from any exchange group. D. vegetables and canned fruit.
The plan of are or a diabetic patient includes all o these interventions. Which intervention should you delegate to a UAP?
a. Checking to make sure that the patient's bath water is not too hot b. Discussing community resources for diabetic outpatient care c. teaching the patient to perform daily foot inspection d. assessing the patient's technique for drawing insulin into a syringe