A nurse performing a physical assessment of a 12-month-old infant notes that the infant's head circumference is the same as the chest circumference. Based on this finding, what should the nurse do?
A. Suspect the presence of hydrocephalus
B. Suggest to the pediatrician that a skull x-ray be performed
C. Tell the mother that the infant is growing faster than expected
D. Document these measurements in the infant's health-care record
Ans: D. Document these measurements in the infant's health-care record
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The nurse prevents and treats pressure ulcers in the at-risk population of immobile elders. Which of the following interventions will best treat a stage 1 pressure ulcer?
A) Clean with normal saline three times a day. B) Cover with a hydrogel sheet like Vigilon. C) Off-load the area under pressure. D) Thoroughly clean and irrigate the lesion.
A 78-year-old resident of an assisted living facility has told the nurse that she often feels tired during the day but experiences frequent awakenings during the night. The nurse is conducting a comprehensive sleep assessment
The nurse should be aware of what change in sleep characteristic that accompanies older age? A) A gradual decrease in the amount of sleep required B) An increase in the proportion of REM sleep C) An absence of recognizable sleep cycles D) An increase in the intensity of dreams
Nurse managers can create an environment that is devoted to health care safety by doing which of the following (select all that apply)?
a. Adopting and embracing the concept of disciplining staff who commit errors b. Learning the concepts and tools related to quality improvement and quality assurance c. Becoming a role model for staff and peers in practicing health care safety concepts d. Encouraging staff to be constantly vigilant in identifying potential risks in the care environment e. Creating a sense of partnership with pa-tients and families to promote communi-cation about safety concerns and soliciting their suggestions to correct and prevent potential risks
A hospital that is interested in purchasing IV infusion pumps organizes a group of nurses to evaluate pumps from a variety of vendors. Which type of group has been organized?
1) Short term 2) Ongoing 3) Self-help 4) Work-related social support