A client delivers a child by breech presentation with both the feet as the presenting part. What type of breech presentation should the nurse document on the record?
A) Complete breech
B) Footling breech
C) Frank breech
D) Kneeling breech
B
Feedback:
The nurse should document it as footling breech, in which one or both feet present. In a complete breech, the buttocks present, with the knees bent and the feet next to the buttocks. In a frank breech, the buttocks present, with the legs extended straight up. In a kneeling breech, the knees present.
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A lipid panel has been drawn on a patient who has a family history of atherosclerosis. The nurse would explain that which value on the panel is most implicated in development of atherosclerosis?
1. High-density lipoprotein 2. Total cholesterol level 3. Triglyceride level 4. Low-density lipoprotein
Diagnostic testing reveals that a patient has areas of cerebral focal infarctions. The nurse plans care with the realization that which outcome is likely?
1. The patient will likely deteriorate into multiple system organ failure. 2. These areas of ischemia will likely extend into the brainstem. 3. The patient's symptoms may resolve with treatment. 4. The patient's symptoms will progress rapidly.
An experienced nurse sees a new nurse using a procedure to change a dressing that is different from the one the experienced nurse is familiar with. What could be responsible for this new procedure?
1. The new nurse is performing the procedure wrong. 2. The experienced nurse has always performed the procedure wrong. 3. There are many ways to perform procedures. 4. The knowledge base is increasing because of new research, necessitating regular revisions in procedures.
A client complains of foot pain while ambulating in his shoes. The nurse assesses the client's feet and determines they are flat. The nurse should
A) Call the client's physician and report the pain B) Inform the client to walk barefoot while in the home C) Instruct the client to have his feet measured to determine size D) Instruct the client to make an appointment with a podiatrist