When assessing a baby born 2 days after the due date, the nurse would recognize the due date was accurate if which of the following findings is present?
a. no flexion of extremities
b. pale pink skin with no visible veins and little lanugo
c. a soft pinna that stays folded
d. eyelids fused
B
An infant who is appropriate for gestational age would exhibit pale pink skin with no visible veins and little lanugo.
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The nurse suspects that the patient who was brought to the emergency department (ED) because of what the family describes as "a sudden case of Alzheimer disease" may have general amnesia. Which characteristics make the nurse suspect general amne
Select all that apply. 1. The patient cannot remember any personal information. 2. The patient has been wandering away from home. 3. The patient describes a "detachment" from her mind. 4. The patient feelings of "disconnection" with her home. 5. The patient has developed an alternate personality.
A client who has a renal mass on the right side is scheduled for a right radical nephrectomy. Immediate postoperative nursing care would include all of the following. Which action is MOST important?
a. assessing neurological status and lung sounds b. monitoring IV fluid infusions c. observing the dressing frequently for bleeding d. planning several periods of uninterrupted rest each day
Which of the following prevention activities would be considered tertiary prevention?
1. Diabetes screening 2. Rehabilitation for musculoskeletal injury 3. Birth control 4. Pregnancy testing
MC The Home Health Certification and Plan of Treatment is effective for days after initiation, except in cases where the client's condition changes
A. 30 B. 60 C. 90 D. 120