The nurse assessing a newborn just admitted to the nursery notes a dark red spot on the nape of the infant's neck. The nurse documents this finding as:
A) erythema toxicum neonatorum. B) milia. C) stork bite. D) Epstein's pearl.
C
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The nurse is taking care of an adolescent who was admitted following an automobile accident. Which of the following should the nurse know in caring for this client?
1. The adolescent's main concern is with death and dying. 2. Adolescents are concerned with privacy and independence. 3. Adolescents have a fear of loss of self-control related to body. 4. Adolescents will experience separation anxiety.
What are the six elements of accountability? Provide an example for each
What will be an ideal response?
The nurse needs to obtain a sputum specimen from a client. What should the nurse have the client do?
1. Apply sterile gloves. 2. Clear the throat. 3. Cough to bring up secretions. 4. Rinse the mouth with mouthwash prior to the collection.
A teenager is admitted to the ED after being alternately hyperalert and difficult to arouse. The symptoms started within the last few hours, during which time he became disoriented, confused, and delusional. These symptoms support the diagnosis of:
a. Amnesia b. Delirium c. Dementia d. Depression