The nurse is assessing the neck of an 8-year-old child with Down syndrome. Which finding would the nurse expect during the examination?
A) Webbing
B) Excessive neck skin
C) Lax neck skin
D) Shortened neck
Ans: C
Lax neck skin may occur with Down syndrome. Webbing or excessive neck skin folds may be associated with Turner syndrome. A shortened neck is expected in a child younger than age 4.
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Order: Heparin 1,600 units/hr Available: Heparin 25,000 units in 250 mL D5 1/2 NS The IV flow rate is _______________
A. 100 mL/hr B. 15 mL/hr C. 16 mL/hr D. 2 mL/hr
The nurse caring for a child who is sedated,unconscious,and on a mechanical ventilator can expect to include which of the following nursing interventions in the nursing care plan?
1. Active range of motion (ROM) exercises 2. Maintenance of intravenous (IV) hydration 3. Out-of-bed transfer to wheelchair 4. Whirlpool baths
You are assisting in the care of a person with vertigo. What are the implications?
What will be an ideal response?
Client assessment provides the nurse with necessary information for the development of an ef-fective plan of care. When determining the influence of an internal variable on the client's health status, the nurse will specifically look for:
1. Anxiety level present 2. Family remedies used 3. Location and type of occupation 4. Available health insurance coverage