Which sign or symptom is a very late indication of developmental dysplasia of the hip?
a. Asymmetry of the gluteal or thigh folds
b. Leg-length discrepancy
c. Waddling gait
d. Pain
Answer: d. Pain
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The PACU nurse is caring for a patient who has arrived from the operating room who is still unconscious
During the initial assessment, the nurse notices that the patient's skin is blue and dusky. She looks, listens, and feels for breathing, and determines the patient is not breathing. The priority intervention is to A) check an oxygen saturation rate, continue to monitor for apnea, and perform a focused assessment. B) treat the possible airway obstruction by tilting the head back and pushing forward on the angle of the lower jaw. C) check the arterial pulses, and place the patient in the Trendelenburg position. D) call a code blue, and then get an rapid intubation kit and prepare to reintubate.
An adolescent comes into the emergency department with a foot wound. Upon assessment, the nurse learns that the patient is a runaway and has been living on the streets
Which is the most appropriate care for the nurse to provide to the patient at this time? A) Recommend returning to live with parents. B) Treat the wound and provide wound care supplies. C) Discuss the importance of a diet high in protein and vitamin C. D) Explain how the wound needs to be flushed with water every 4 hours.
The nurse would consider which of the following clients at greatest risk?
A) the 22-year-old bank teller who quit smoking when she found out she was pregnant B) the 28-year-old who is pregnant with a twin pregnancy following in vitro fertilization C) the unmarried 36-year-old whose first child was born at 34 weeks' gestation D) the 19-year-old primigravida who lives in a mobile home and started prenatal care at 20 weeks
A nurse plans interventions to promote wellness in older adults. Which of the following interventions is most appropriate to meet this goal?
A) Talking with the physician about available treatment options for an older adult with an acute illness B) Facilitating early mobilization to prevent muscle wasting and loss of function in an older hospital client C) Deferring the final decision regarding an older adult's choice of assisted living facility to the person's son and daughter D) Placing a 76-year-old on the waitlist for a kidney transplant