A 3-month-old infant is diagnosed with developmental hip dysplasia. The nurse knows that what is the usual treatment for an infant with this diagnosis?
a. A Pavlik harness
b. A body spica cast
c. Traction
d. Triple-diapering
ANS: A
In infants who are more than 2 months of age, longer-term immobilization with a Pavlik harness is required.
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When applying the nursing process to patients, the nurse knows that the goal of data analysis is
a. to decide when new assessments should occur. b. to ensure that enough data have been collected. c. the creation of appropriate nursing diagnoses. d. to discovery disparities in the collected data.
A community mental health nurse visits a client who lives in a community residence. On two
sequential visits, the client makes veiled references to receiving verbally abusive treatment at the hands of one of the residence aides. The action the nurse should take is to a. understand that psychiatric clients often feel abused. b. listen and wait to see if the client continues to report the abuse. c. confront the residence aide with the client's allegations. d. report the client's comments to the protection and advocacy agency.
The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This finding is associated with which congenital heart defect?
a. Pulmonary stenosis b. Patent ductus arteriosus c. Ventricular septal defect d. Coarctation of the aorta
The nurse is assessing a client's spiritual strengths using the interpretive framework from a narrative spiritual assessment. Which question should the nurse ask the client to assess their communion?
A. "Describe your values?" B. "How does your spirituality affect your joy, sorrow, and coping?" C. "What is your relationship with God?" D. "Have you experienced any spiritual hunches?"