The nurse is caring for an infant with hydrocephalus. What nursing action is most important for this nurse to implement?

a. Align the limbs.
b. Support the head.
c. Keep the head lower than the hip.
d. Check intake and output.


ANS: B
The child with hydrocephalus has a heavy head on a small body with poor muscle tone; the head must be supported when feeding and moving the child to prevent injury to the neck.

Nursing

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Which factors increase the stress associated with interpersonal relationships in health care? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

1. Longer length of stay for clients 2. Few assistive personnel 3. Job redesign 4. New technology 5. Unrealistic expectations of other disciplines

Nursing

Although a patient appears to have recovered from a head injury resulting from an auto accident 3 months ago, the family reports changes in the patient's personality and behavior

The nurse should explain that these changes are probably associated with injury to which structure? a. Pons b. Parietal lobe c. Prefrontal area d. Caudate nucleus

Nursing

A nurse is caring for a visually impaired 20-month-old who has not begun to walk. An appropriate nursing diagnosis for this child would be

1. delayed growth and development. 2. impaired physical mobility. 3. self-care deficit. 4. impaired home maintenance.

Nursing

In a study designed to determine if exposure to x-rays during pregnancy increases the likelihood of birth defects, x-ray exposure is the ____________ variable

Fill in the blank with correct word

Nursing