How would the nurse best analyze the results from a client's sonogram that shows the fetal shoulder as the presenting part?
1. Breech, transverse
2. Breech, longitudinal
3. Breech, frank
4. Vertex, transverse
1
Explanation: 1. A shoulder presentation is one type of breech presentation, and is also called a transverse lie.
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The major focus of the nurse practitioner is on:
1. Leadership. 2. Physical and psychosocial clinical assessment. 3. Independent care of the high-risk chronic child. 4. Tertiary prevention
A client with coronary artery disease is scheduled for a minimally invasive direct coronary artery bypass (MIDCAB). The client asks how this procedure differs from a traditional coro-nary artery bypass. What is the nurse's best response?
A. "The sternotomy incision is smaller." B. "Cardiopulmonary bypass is not required." C. "There is far less incisional pain with a MIDCAB." D. "There is no risk of graft closure after this procedure."
The home health nurse is assessing the patient's home. Which of the following would be identified as a fall risk? (Select all that apply.)
a. Brightly lit rooms b. Pantry food at an accessible level c. Colorful scatter rugs marking doorways and steps d. Wearing comfortable laced tennis shoes e. Attractive, low, magazine rack beside a chair
An older adult woman who is incontinent of stool following a cerebrovascular accident will have which of the following nursing diagnoses?
A) Bowel Incontinence related to loss of sphincter control, as evidenced by inability to delay the urge to defecate B) Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency C) Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence D) Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis