The hospice nurse documents an assessment finding of cachexia in the patient record, which describes a state of:
a. deep sleep and unresponsiveness.
b. marked weakness and emaciation.
c. total addiction to opioids.
d. renewed energy.
B
Malnutrition marked by weakness and emaciation is called cachexia.
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The nurse observes that the infant's anterior fontanelle is bulging after placement of a ventriculoperitoneal shunt. How should the nurse position this infant?
a. Prone, with the head of the bed elevated b. Supine, with the head flat c. Side-lying on the operative side d. In a semi-Fowler's position
Which clinical findings would be considered to be normal for a preterm fetus during the labor period?
a. Baseline tachycardia b. Baseline bradycardia c. Fetal anemia d. Acidosis
A 2-month-old infant with bronchopulmonary dysplasia is being prepared for discharge from the neonatal intensive-care unit
He will continue to receive oxygen via nasal cannula at home.Prior to discharge,the home-health nurse assesses the home. Which of the following findings pose the greatest risk to this infant? 1. Small toys strewn on the floor 2. A woodstove used for heating 3. A sibling who has an ear infection 4. Paint peeling on the walls
The nurse is planning a presentation to a group of nursing students on the topic of anxiety disorders. Which of the following would the nurse include when describing panic disorder?
A) Individuals may believe they are having a heart attack when a panic attack occurs. B) People with panic attacks often have fewer attacks if they also have agoraphobia. C) Typically, individuals experience this disorder after the age of 30 years. D) Persons rarely have an underlying comorbid condition of depression.