Which statement can the nurse use to best describe spina bifida with myelomeningocele?
A) There is protrusion of the spinal cord and meninges, with nerve roots embedded
B) The spinal meninges protrude through the bony defect and form a cystic sac
C) There is no protrusion of the spinal cord, only soft-tissue inflammation occurs
D) There is a bony defect that occurs without soft-tissue involvement
Ans: A
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The nurse is examining a 7-year-old boy with blepharitis. Which of the following symptoms is least likely to be present?
A) Redness B) Scaling C) Pain D) Edema
A middle-aged client who wears glasses and has a slight hearing problem needs a hearing aid that may be attached to eyeglasses and is not too expensive. Which of the following hearing aid devices is best suited for the client?
A) Behind-the-ear device B) Body aid device C) Infrared listening device D) In-the-ear device
A patient who has had an open reduction and internal fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. Which action should the nurse take?
a. Use a mechanical lift to transfer the patient from the bed to the chair. b. Check the postoperative orders for the patient's weight-bearing status. c. Avoid administration of pain medications before getting the patient up. d. Delegate the transfer of the patient to nursing assistive personnel (NAP).
What is an appropriate endotracheal tube size for a newborn weighing more than 3000 g?
A) 2.0 to 3.0 mm B) 3.5 to 4.0 mm C) 3.0 to 4.0 mm D) 2.5 to 3.5 mm