The nurse is assessing a term newborn. Which finding should the nurse expect when assessing the patterns of sole creases?
A) Creases on two thirds of the foot
B) Heel creases but no anterior creases
C) Longitudinal but no horizontal creases
D) Creases covering one fourth of the foot
A
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The foot of a term newborn has many crisscrossed lines on the sole, covering approximately two thirds of the foot. If these creases cover less than two thirds of the foot or are absent, it suggests the infant is preterm.
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A) It is guided by standards, policies and procedures, ethics codes, and laws. B) It is based on principles of nursing process, problem solving, and the scientific method. C) It carefully identifies the key problems, issues, and risks involved. D) It is driven by the nurse's need to document competent, efficient care. E) It calls for strategies that make the most of human potential.
The client will be remaining in the home while receiving chemotherapy. Her caregiver is concerned about how her skin should be cleaned if she is incontinent while undergoing treatment
The nurse should instruct the caregiver to clean the skin with ________ after an incontinent episode. a. soap and water b. prescribed skin care products c. diluted hydrogen peroxide d. water-based lubricant
Which is an appropriate primary nursing intervention to help meet the health care needs of the elderly?
A. Advocacy by lobbying for appropriate community resources B. Case management and collaboration with the client and family in setting goals C. Teaching the family how to care for the elderly person in the family D. Under the Geriatric Evaluation Service, screening applications for nursing home placement
The nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. How should the nurse plan to administer the vaccine?
a. Intramuscularly in the deltoid muscle b. Subcutaneously in the gluteal muscle c. Subcutaneously in the outer aspect of the upper arm d. Intramuscularly in the anterolateral aspect of the thigh