A single transverse line seen in the palm of a small child may imply:
a. Down syndrome.
b. Turner syndrome.
c. systemic sclerosis.
d. profound dehydration.
A
The simian line, a single transverse crease, is seen on the palm of children with Down syndrome.
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Displaying her hands, a patient asks, "Do you think my liver is OK? Look at all these liver spots!" The most appropriate response would be:
1. "The spots could mean there is something wrong; I will make a note of it." 2. "The spots are normal aging changes and have nothing to do with your liver." 3. "Have you recently been exposed to hepatitis?" 4. "Don't worry about them. They will fade during the winter."
A patient that appears to be moving around easily and smiling rates their pain at 7 out of 10 and requests pain medication. Which action should the nurse take?
A. Administer half the ordered dose of pain medication. B. Inform the healthcare provider that the client is exaggerating their pain. C. Wait 30 minutes and see if the client is still requesting the pain medicine. D. Administer the pain medication as prescribed.
Which nursing assessment is most important to determine fluid status for a patient with heart failure?
a. Auscultation of lungs b. Daily weights c. Intake and output d. Measurement of abdominal girth
When a client first takes a nitrate, the nurse expects which symptom that often occurs?
a. Nausea and vomiting b. Headaches c. Stomach cramps d. Irregular pulse rate