What assessment made by the nurse would lead the nurse to suspect hip dysplasia?
a. Asymmetrical gluteal folds
b. Limited adduction of the affected side
c. Foot turned inward
d. Deep inguinal creases
ANS: A
The gluteal folds are asymmetrical because the head of the femur has slipped out of the acetabulum. There is also limited abduction of the affected side, and when the legs are flexed the affected leg seems to be shorter.
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Complex change situations require that the change leader promote ongoing visioning among staff members. One strategy is to:
a. Consciously evaluate invisible mental models. b. Allow for individual outcomes. c. Encourage cooperative activities. d. Operate between order and disorder.
Which would be the priority nursing intervention for a child who has been involved in an automobile collision and is now a paraplegic?
1. Develop and implement a teaching plan. 2. Discuss improvement for family coping. 3. Contact the family clergy for support. 4. Arrange for the child's friends to visit.
In children, coarctation of the aorta should be suspected if you detect:
a. a delay between the radial and femoral pulses. b. a simultaneous radial and femoral pulse. c. an absent femoral pulse on the left. d. bilateral absence of femoral pulses.
The nurse is reviewing a client's Daily Spiritual Experiences Scale. Which score would the nurse interpret as indicating that the client has more daily spiritual experiences?
A) 90 B) 64 C) 43 D) 25