You are carefully assessing the sutures and fontanelles. True or False? The posterior fontanel
is joined by the temporal and parietal bones.
What will be an ideal response?
False. The posterior fontanel is joined by the parietal and occipital bones.
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When the nurse is performing an admission physical assessment on the pediatric client who is under 30 days old, additional data to note includes:(Select all that apply) Standard Text: Select all that apply
1. Shape of head 2. Presence of barrel-chested appearance 3. Asymmetric gluteal folds 4. Presence of receding gums 5. Excursion symmetry or asymmetry of chest on respiration
During a craniotomy, the patient experienced peripheral damage to cranial nerve 7, resulting in diminished movement of the left side of the face. What nursing action demonstrates best understanding of the effect of this lesion on the patient?
A) Referral for speech therapy and swallowing assessment B) Use of ocular moisturizers C) Teaching about falling and syncope risks D) Referral for evaluation for a hearing aid
When a patient with prostate enlargement has urine in his bladder longer than normal, which adverse effect is likely to occur?
a. Interstitial cystitis b. Bladder infection c. Bladder stones d. Overactive bladder
A hospital has a number of different perineal pads available for use. A nurse is observed soaking several of them and writing down what she sees. This activity indicates the nurse is trying to:
1. improve the accuracy of blood loss estimation, which is usually a subjective as-sessment. 2. determine which pad is best. 3. demonstrate that other nurses usually underestimate blood loss. 4. reveal to the nurse supervisor that one of them needs some time off.