The nurse is using a nasoscope during a head-to-toe assessment. Which assessments require the use of this tool? Select all that apply
1) Nostrils
2) Nasal mucosa
3) Scrotum
4) Fontanels
5) Septum
ANS: 1, 2, 5
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The nurse explains the purpose of vaccines is to promote what? (Select all that apply.)
A) Active immunity B) Passive immunity C) Short-term immunity D) Lifetime immunity E) Activation of the immune system
Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?
a. Engagement b. Extension c. Internal rotation d. External rotation
A patient has been admitted for treatment of syndrome of inappropriate antiduretic hormone secretion (SIADH). The nurse expects continued diagnostic tests for which disorder?
1. Heart failure 2. Small cell carcinoma of the lung 3. Hypertension 4. Pleural effusion
A nurse is interviewing a client with schizophrenia. During the interview the client states, "My mother went to state college, but that pimple on your cheek must hurt when they cut the lights off at nine at night for lights out."
The nurse knows this is an instance of: A) Attention impairment. B) Concrete thinking. C) Loose associations. D) Memory deficits.