A new mother tells the nurse that her baby must be cold because his hands and feet are blue. The nurse explains that this is a common and temporary condition known as:
a. Harlequin sign
b. Erythema toxicum
c. Cutis marmorata
d. Acrocyanosis
ANS: D
Cyanosis of the hands and feet in the first week of life is caused by a combination of high hemoglobin and vasomotor instability. Parent education regarding this normal finding is helpful. Harlequin color change is a deep red color over a longitudinal half of the body, pallor on the other half, caused by an imbalance of autonomic vascular regulatory mechanism. Cutis marmorata is a red or blue lacelike pattern on the skin that is a normal vasomotor response to cold. Erythema toxicum is a normal, temporary splotchy erythema with firm, yellow-white papules.
You might also like to view...
The nurse is interviewing an older adult Hispanic client who complains of recent weight loss, anorexia, and epigastric pain
The client reports recent use of "mints" for stomach upset. Based on this assessment data, which interventions are appropriate for this client? Select all that apply. 1. Schedule the client for an endoscopy as ordered. 2. Educate the client regarding the importance of taking antacids after meals and at bedtime as suggested by the healthcare provider. 3. Educate the client regarding Helicobacter pylori infections. 4. Discuss the importance of using over-the-counter aspirin for mild pain relief. 5. Educate the client about the importance of avoiding all spicy foods as this is the most likely cause of the peptic ulcer.
Which statement accurately demonstrates that a research finding is statistically and clinically significant?
1. The intervention demonstrated decreased heart rate of the adults (81.76 to 77.76, p = .18). 2. The intervention demonstrated decreased P pain intensity (4.65 to 2.35, p =.001) on the second hospital day. 3. The intervention demonstrated decreased respiratory rate of the adult sample (18 to 14, p =.004). 4. The intervention demonstrated decreased complication rate at 6 weeks after hospital discharge (6 to 18, p =.27).
In assessing a patient before administration of a cardiac glycoside, the nurse knows that which lab result can increase the toxicity of the drug?
a. Potassium level 2.8 mEq/L b. Potassium level 4.9 mEq/L c. Sodium level 140 mEq/L d. Calcium level 10 mg/dL
A client is being prepared to go home following a stroke. He is being advanced to level 3 dysphagia diet to assess his tolerance before going home. Which of the following choices might he choose for his dinner? Select all that apply
A) Mashed potatoes D) Pasta salad with raw vegetables B) Meatloaf E) Pineapple upside down cake C) Steamed green beans