Which approach should the nurse use to measure the head circumference of a child?
A) Measure the head circumference routinely on children up to the age of 6 years
B) Place the tape measure around the head just above the eyebrows
C) Expect the head circumference and the chest circumference measurements to be equal up to the age of 6 years
D) Place the tape measure around the head with the tape touching just below the eyes
Ans: B
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A nurse is caring for a patient in Crutchfield tongs. Which assessment finding requires immediate notification to the health-care provider?
A. Altered mental status B. Crusted drainage at pin sites C. Irritability and pain D. WBCs of 98,000/mm3
An endocrinologist is providing care for a 30-year-old male who has lived with the effects of increased levels of growth hormone (GH). Which of the following teaching points about the client's future health risks is most accurate?
A) "It's not unusual for high GH levels to cause damage to your hypothalamus." B) "GH excess inhibits your pancreas from producing enough insulin." C) "The high levels of GH that circulate in your body can result in damage to your liver." D) "When your pituitary gland is enlarged, there's a real risk that you'll develop some sight deficiencies."
What would be a likely result of the development of a universally agreed-upon nomenclature and taxonomy for nursing clinical information and management data?
a. The inability to identify what the nursing staff actually does b. A failure to determine the impact nurses have on outcomes c. The establishment of appropriate reim-bursement for nursing activities d. A decrease in the number of nursing di-agnoses
What does the loss of the adenosine triphosphate (ATP) during ischemia cause cells to do?
a. Shrink because of the influx of calcium (Ca) b. Shrink because of the influx of potassium chloride (KCl) c. Swell because of the influx of sodium chloride (NaCl) d. Swell because of the influx of nitric oxide (NO)