Which assessment finding should the nurse document as abnormal?
A. The client's earlobes are attached vertically to the lateral side of the head.
B. The top of the client's ears are slightly above the eye-occiput line.
C. The posterior angle of the ears is approximately 5 degrees.
D. The pinna have scales bilaterally.
D
The skin of the external ears (pinna) should be free from any lesions, bumps, scales, discoloration, or swelling.
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During the assessment of a patient newly admitted with AIDS, the nurse carefully assesses for symptoms related to the most common infection in patients with AIDS. This most common infection is:
A) Salmonella B) Mycobacterium tuberculosis C) Clostridium difficile D) Pneumocystis carinii pneumonia
Which of the following is not true regarding acute care?
a. it is the least expensive setting in which health care is delivered b. it is often referred to as hospital care delivery c. it is time-limited d. it is care requiring on average less than 30 days duration
A laboratory test for glycosylated hemoglobin Alc:
1. is now done for all pregnant women, not just those with or likely to have diabetes. 2. is a snapshot of glucose control at the moment. 3. with a 2.5% to 5.9% result is considered evidence of good diabetes control. 4. is done on the patient's urine, not her blood.
The nurse is caring for a woman who is in labor and has a blood pressure of 180/98 mm Hg with proteinuria of 400 mg/24 hours. The woman is receiving magnesium sulfate
The woman becomes lethargic with slurring of her speech and decreased muscle tone. Her serum magnesium sulfate level is 11 mEq/L. The nurse recognizes which condition in this patient? a. Abruptio placenta b. Hypertensive crisis c. Impending eclampsia d. Magnesium toxicity