The nurse is weighing and measuring a baby in the clinic. The baby is 6 months old. Which of the following findings are considered normal for this age?
a. The baby can turn completely over
b. The baby is unable to bring a cup to his or her lips
c. The baby can sit without support for extended amounts of time
d. The baby has tripled the birth weight
A
The baby should be able to turn completely over. The baby should be able to bring the cup to his or her lips. The baby is not yet able to sit without support for more than just a short period of time. The baby should have doubled the birth weight.
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A postpartum woman who developed deep vein thrombosis is being discharged on anticoagulant therapy. After teaching the woman about this treatment, the nurse determines that additional teaching is needed when the woman states which of the following?
A) "I will use a soft toothbrush to brush my teeth.". B) "I can take ibuprofen if I have any pain.". C) "I need to avoid drinking any alcohol.". D) "I will call my health care provider if my stools are black and tarry.".
Which action by the nurse is most effective to prevent becoming exposed to the human immune deficiency virus (HIV)?
a. Always use Standard Precautions with all clients in the workplace. b. Place clients who are HIV positive in Contact Precautions. c. Wash hands before and after contact with clients who are HIV positive. d. Convert parenteral medications to an oral form for clients who are HIV positive.
You observe that the skin on the client's right leg is cooler and paler than the skin of the left leg. What is the significance of this observation?
A. The right leg has interference with vascular flow. B. The client may have chronic hepatic or renal disease. C. Normal skin aging can occur at different rates in different body areas. D. The left leg has experienced greater sun exposure than the right leg.
Which of the following clients is at greatest risk for acquiring a health care–associated (noso-comial) infection?
1. A 32-year-old hospitalized for 2 days for migraine headaches 2. A client with type 1 diabetes who has been experiencing hypoglycemia 3. A trauma victim taken directly from the ED to surgery and then to the postsurgi-cal unit 4. A pregnant 24-year-old diagnosed with both sinusitis and otitis media and pre-scribed an oral antibiotic