A nurse is providing information to a high school health class about drinking during pregnancy. What descriptors would the nurse use when talking about fetal alcohol syndrome? (Select all that apply.)
A) Microcephaly
B) Small eyes
C) Flattened upper lip
D) Prominent cheekbones
E) Macrocephaly
A, B, C
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The nurse is caring for a child receiving chemotherapy for leukemia. The child's granulocyte count is 600/mm3 and platelet count is 45,000/mm3. What oral care should the nurse recommend for this child?
a. Rinsing mouth with water b. Daily toothbrushing and flossing c. Lemon glycerin swabs for cleansing d. Wiping teeth with moistened gauze or Toothettes
A patient experienced a cerebral spinal fluid leak after spinal surgery. The leak has just been treated with a blood patch. What is the nurse's priority action?
1. Administering a bolus of IV fluids 2. Positioning the patient on the left side 3. Initiating strict isolation procedures 4. Keeping the patient flat in bed for 2 hours
A nurse is assessing a client with arthritis. Which of the following should the nurse consider in the initial assessment of the client?
A) Blood group B) Anxiety level C) Pain level D) Glucose level
The nurse is caring for client 82 years of age who is struggling to adapt to hearing loss as he ages. The nurse performs which of the following interventions to assist the client in adapting to this sensory deficit? Choose all that apply
A) Make sure he wears his hearing aid. B) Speak in a lower tone of voice. C) Speak so he can observe your lip movement. D) Keep his environment clear of clutter. E) Orient to person, place, and time frequently